Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.63 / $396.63 / $396.63	Facility		$396.63	$396.63	$396.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.27 / $396.63 / $658.55	Professional		$304.27	$396.63	$658.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $786.24 / $864.86 / $1,430.96	Facility		$786.24	$864.86	$1,430.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $731.20 / $731.20 / $967.07	Professional		$731.20	$731.20	$967.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $565.60 / $1,682.55 / $1,682.55	Facility		$565.60	$1,682.55	$1,682.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.40 / $1,625.69 / $3,281.98	Facility		$456.40	$1,625.69	$3,281.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.17 / $1,139.53 / $1,488.01	Professional		$333.17	$1,139.53	$1,488.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $235.24 / $594.95 / $904.18	Facility		$235.24	$594.95	$904.18
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $450.17 / $786.24 / $943.49	Professional		$450.17	$786.24	$943.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $396.63 / $786.24 / $3,730.43	Facility		$396.63	$786.24	$3,730.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $365.56 / $525.33 / $887.63	Professional		$365.56	$525.33	$887.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $492.91	Professional		$50.00	$70.00	$492.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $235.24 / $606.84 / $904.18	Facility		$235.24	$606.84	$904.18
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $450.17 / $786.24 / $943.49	Professional		$450.17	$786.24	$943.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $786.24 / $1,209.97 / $2,186.06	Professional		$786.24	$1,209.97	$2,186.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $456.40 / $1,535.62 / $3,730.43	Facility		$456.40	$1,535.62	$3,730.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $333.17 / $456.40 / $4,333.49	Professional		$333.17	$456.40	$4,333.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $786.24 / $786.24 / $786.24	Professional		$786.24	$786.24	$786.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $786.24 / $786.24 / $786.24	Professional		$786.24	$786.24	$786.24
United Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $360.00 / $360.00	Facility		$360.00	$360.00	$360.00
United Facility/Professional Professional Modifier Low / Median / High Price $303.66 / $485.86 / $786.24	Professional		$303.66	$485.86	$786.24