Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.21 / $446.21 / $446.21	Facility		$446.21	$446.21	$446.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.70 / $446.21 / $740.87	Professional		$319.70	$446.21	$740.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $884.52 / $972.97 / $1,609.83	Facility		$884.52	$972.97	$1,609.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $822.60 / $822.60 / $1,087.95	Professional		$822.60	$822.60	$1,087.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $636.32 / $1,892.87 / $1,892.87	Facility		$636.32	$1,892.87	$1,892.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.20 / $1,828.31 / $3,692.05	Facility		$572.20	$1,828.31	$3,692.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.71 / $1,281.56 / $1,674.03	Professional		$417.71	$1,281.56	$1,674.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $247.19 / $669.32 / $1,017.20	Facility		$247.19	$669.32	$1,017.20
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $506.46 / $884.52 / $1,061.42	Professional		$506.46	$884.52	$1,061.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $427.89 / $884.52 / $4,009.36	Facility		$427.89	$884.52	$4,009.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.44 / $576.76 / $963.13	Professional		$398.44	$576.76	$963.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $596.94	Professional		$50.00	$70.00	$596.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $247.19 / $669.32 / $1,017.20	Facility		$247.19	$669.32	$1,017.20
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $506.46 / $884.52 / $1,061.42	Professional		$506.46	$884.52	$1,061.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $884.52 / $1,361.25 / $2,297.46	Professional		$884.52	$1,361.25	$2,297.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $572.20 / $1,727.58 / $4,009.36	Facility		$572.20	$1,727.58	$4,009.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $417.71 / $572.20 / $5,096.03	Professional		$417.71	$572.20	$5,096.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $884.52 / $884.52 / $884.52	Professional		$884.52	$884.52	$884.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $884.52 / $884.52 / $884.52	Professional		$884.52	$884.52	$884.52
United Facility/Professional Professional Modifier Low / Median / High Price $352.39 / $470.92 / $758.62	Professional		$352.39	$470.92	$758.62