Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.24 / $444.24 / $444.24	Facility		$444.24	$444.24	$444.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.18 / $444.24 / $737.61	Professional		$329.18	$444.24	$737.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $880.62 / $968.68 / $1,602.73	Facility		$880.62	$968.68	$1,602.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $818.98 / $818.98 / $1,083.16	Professional		$818.98	$818.98	$1,083.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $633.51 / $1,884.53 / $1,884.53	Facility		$633.51	$1,884.53	$1,884.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.44 / $1,820.81 / $3,675.26	Facility		$589.44	$1,820.81	$3,675.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.29 / $1,275.94 / $1,666.64	Professional		$430.29	$1,275.94	$1,666.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $254.51 / $666.36 / $1,012.71	Facility		$254.51	$666.36	$1,012.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $504.22 / $790.21 / $1,056.74	Professional		$504.22	$790.21	$1,056.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $440.56 / $880.62 / $4,115.68	Facility		$440.56	$880.62	$4,115.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.85 / $588.40 / $958.89	Professional		$398.85	$588.40	$958.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $594.28	Professional		$50.00	$70.00	$594.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $254.51 / $666.36 / $1,012.71	Facility		$254.51	$666.36	$1,012.71
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $504.22 / $790.21 / $1,056.74	Professional		$504.22	$790.21	$1,056.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $880.62 / $1,355.23 / $2,365.71	Professional		$880.62	$1,355.23	$2,365.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $589.44 / $1,719.96 / $4,115.68	Facility		$589.44	$1,719.96	$4,115.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $430.29 / $589.44 / $5,246.98	Professional		$430.29	$589.44	$5,246.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $880.62 / $880.62 / $880.62	Professional		$880.62	$880.62	$880.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $880.62 / $880.62 / $880.62	Professional		$880.62	$880.62	$880.62
United Facility/Professional Professional Modifier Low / Median / High Price $328.53 / $525.64 / $880.62	Professional		$328.53	$525.64	$880.62