Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.97 / $375.97 / $375.97	Facility		$375.97	$375.97	$375.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.95 / $375.97 / $624.25	Professional		$273.95	$375.97	$624.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $745.29 / $819.82 / $1,356.43	Facility		$745.29	$819.82	$1,356.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $670.76 / $693.12 / $916.70	Professional		$670.76	$693.12	$916.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $536.16 / $1,594.92 / $1,594.92	Facility		$536.16	$1,594.92	$1,594.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.92 / $1,540.33 / $3,111.23	Facility		$410.92	$1,540.33	$3,111.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $1,080.00 / $1,410.51	Professional		$299.97	$1,080.00	$1,410.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $211.80 / $563.96 / $857.08	Facility		$211.80	$563.96	$857.08
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $426.73 / $657.62 / $894.35	Professional		$426.73	$657.62	$894.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $366.64 / $745.29 / $3,432.45	Facility		$366.64	$745.29	$3,432.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $332.49 / $494.21 / $811.53	Professional		$332.49	$494.21	$811.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $443.80	Professional		$50.00	$70.00	$443.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $211.80 / $563.96 / $857.08	Facility		$211.80	$563.96	$857.08
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $426.73 / $657.62 / $894.35	Professional		$426.73	$657.62	$894.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $745.29 / $1,146.96 / $1,968.26	Professional		$745.29	$1,146.96	$1,968.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $410.92 / $1,455.64 / $3,432.45	Facility		$410.92	$1,455.64	$3,432.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $410.92 / $4,241.91	Professional		$299.97	$410.92	$4,241.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $745.29 / $745.29 / $745.29	Professional		$745.29	$745.29	$745.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $745.29 / $745.29 / $745.29	Professional		$745.29	$745.29	$745.29
United Facility/Professional Professional Modifier Low / Median / High Price $296.52 / $447.17 / $745.29	Professional		$296.52	$447.17	$745.29