Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.89 / $260.89 / $260.89	Facility		$260.89	$260.89	$260.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.97 / $260.89 / $441.86	Professional		$218.97	$260.89	$441.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $517.17 / $568.90 / $941.27	Facility		$517.17	$568.90	$941.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.46 / $480.98 / $636.13	Professional		$465.46	$480.98	$636.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $372.07 / $1,106.77 / $1,106.77	Facility		$372.07	$1,106.77	$1,106.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.44 / $1,069.41 / $2,158.13	Facility		$364.44	$1,069.41	$2,158.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $749.53 / $978.81	Professional		$266.04	$749.53	$978.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $166.57 / $391.35 / $594.76	Facility		$166.57	$391.35	$594.76
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $296.13 / $517.17 / $689.57	Professional		$296.13	$517.17	$689.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $260.89 / $517.17 / $2,756.24	Facility		$260.89	$517.17	$2,756.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $240.46 / $345.57 / $583.90	Professional		$240.46	$345.57	$583.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $349.03	Professional		$50.00	$70.00	$349.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $166.57 / $399.18 / $594.76	Facility		$166.57	$399.18	$594.76
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $296.13 / $517.17 / $689.57	Professional		$296.13	$517.17	$689.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $517.17 / $795.94 / $1,547.71	Professional		$517.17	$795.94	$1,547.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $364.44 / $1,010.12 / $2,756.24	Facility		$364.44	$1,010.12	$2,756.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $364.44 / $3,923.06	Professional		$266.04	$364.44	$3,923.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $517.17 / $517.17 / $517.17	Professional		$517.17	$517.17	$517.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $412.96 / $517.17 / $517.17	Professional		$412.96	$517.17	$517.17
United Facility/Professional Professional Modifier Low / Median / High Price $202.02 / $329.66 / $443.56	Professional		$202.02	$329.66	$443.56