Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.89 / $261.89 / $261.89	Facility		$261.89	$261.89	$261.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.51 / $261.89 / $434.84	Professional		$188.51	$261.89	$434.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $519.16 / $571.08 / $944.87	Facility		$519.16	$571.08	$944.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.82 / $482.82 / $638.55	Professional		$482.82	$482.82	$638.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $373.48 / $1,111.00 / $1,111.00	Facility		$373.48	$1,111.00	$1,111.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.84 / $1,073.16 / $2,166.53	Facility		$335.84	$1,073.16	$2,166.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $864.64 / $982.55	Professional		$245.16	$864.64	$982.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $143.40 / $392.84 / $597.03	Facility		$143.40	$392.84	$597.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $297.26 / $519.16 / $622.99	Professional		$297.26	$519.16	$622.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $248.23 / $519.16 / $2,344.02	Facility		$248.23	$519.16	$2,344.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $233.86 / $334.59 / $565.29	Professional		$233.86	$334.59	$565.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $311.06	Professional		$50.00	$70.00	$311.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $143.40 / $392.84 / $597.03	Facility		$143.40	$392.84	$597.03
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $297.26 / $519.16 / $622.99	Professional		$297.26	$519.16	$622.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $519.16 / $798.97 / $1,332.91	Professional		$519.16	$798.97	$1,332.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $335.84 / $1,013.98 / $2,344.02	Facility		$335.84	$1,013.98	$2,344.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $335.84 / $2,938.52	Professional		$245.16	$335.84	$2,938.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $519.16 / $519.16 / $519.16	Professional		$519.16	$519.16	$519.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $519.16 / $519.16 / $519.16	Professional		$519.16	$519.16	$519.16
United Facility/Professional Professional Modifier Low / Median / High Price $173.92 / $296.16 / $445.26	Professional		$173.92	$296.16	$445.26