Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.58 / $295.58 / $295.58	Facility		$295.58	$295.58	$295.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.09 / $295.58 / $492.55	Professional		$244.09	$295.58	$492.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $585.94 / $644.53 / $1,066.41	Facility		$585.94	$644.53	$1,066.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $506.77 / $544.91 / $720.70	Professional		$506.77	$544.91	$720.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $421.53 / $1,253.91 / $1,253.91	Facility		$421.53	$1,253.91	$1,253.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.03 / $1,211.05 / $2,446.44	Facility		$379.03	$1,211.05	$2,446.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.69 / $975.87 / $1,108.94	Professional		$276.69	$975.87	$1,108.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $188.72 / $443.39 / $673.83	Facility		$188.72	$443.39	$673.83
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $335.50 / $585.94 / $781.25	Professional		$335.50	$585.94	$781.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.58 / $582.54 / $3,128.86	Facility		$295.58	$582.54	$3,128.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $272.44 / $391.51 / $661.51	Professional		$272.44	$391.51	$661.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $395.43	Professional		$50.00	$70.00	$395.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $188.72 / $443.39 / $673.83	Facility		$188.72	$443.39	$673.83
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $335.50 / $585.94 / $781.25	Professional		$335.50	$585.94	$781.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $585.94 / $901.77 / $1,754.47	Professional		$585.94	$901.77	$1,754.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $379.03 / $1,144.42 / $3,128.86	Facility		$379.03	$1,144.42	$3,128.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $276.69 / $379.03 / $3,890.63	Professional		$276.69	$379.03	$3,890.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $585.94 / $585.94 / $585.94	Professional		$585.94	$585.94	$585.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $585.94 / $585.94 / $585.94	Professional		$585.94	$585.94	$585.94
United Facility/Professional Professional Modifier Low / Median / High Price $233.43 / $389.76 / $519.51	Professional		$233.43	$389.76	$519.51