Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.17 / $301.17 / $301.17	Facility		$301.17	$301.17	$301.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.51 / $301.17 / $580.16	Professional		$287.51	$301.17	$580.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $597.02 / $656.72 / $1,086.58	Facility		$597.02	$656.72	$1,086.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.36 / $555.23 / $734.33	Professional		$516.36	$555.23	$734.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $429.49 / $1,277.61 / $1,277.61	Facility		$429.49	$1,277.61	$1,277.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $1,318.42 / $2,492.62	Facility		$380.63	$1,318.42	$2,492.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $865.31 / $1,129.91	Professional		$277.86	$865.31	$1,129.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $192.28 / $451.76 / $686.57	Facility		$192.28	$451.76	$686.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $341.83 / $597.02 / $796.03	Professional		$341.83	$597.02	$796.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $301.17 / $593.69 / $3,301.32	Facility		$301.17	$593.69	$3,301.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $277.58 / $398.91 / $674.02	Professional		$277.58	$398.91	$674.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $402.90	Professional		$50.00	$70.00	$402.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $192.28 / $451.76 / $686.57	Facility		$192.28	$451.76	$686.57
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $341.83 / $597.02 / $796.03	Professional		$341.83	$597.02	$796.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $597.02 / $918.78 / $1,787.59	Professional		$597.02	$918.78	$1,787.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $1,166.06 / $3,301.32	Facility		$380.63	$1,166.06	$3,301.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $380.63 / $4,654.76	Professional		$277.86	$380.63	$4,654.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $597.02 / $597.02 / $597.02	Professional		$597.02	$597.02	$597.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $597.02 / $597.02 / $597.02	Professional		$597.02	$597.02	$597.02
United Facility/Professional Professional Modifier Low / Median / High Price $248.21 / $397.13 / $597.02	Professional		$248.21	$397.13	$597.02