Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.71 / $359.71 / $359.71	Facility		$359.71	$359.71	$359.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.64 / $359.71 / $597.25	Professional		$282.64	$359.71	$597.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $713.05 / $784.36 / $1,297.75	Facility		$713.05	$784.36	$1,297.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.72 / $663.14 / $877.05	Professional		$616.72	$663.14	$877.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $512.96 / $1,525.93 / $1,525.93	Facility		$512.96	$1,525.93	$1,525.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $472.30 / $1,473.71 / $2,976.87	Facility		$472.30	$1,473.71	$2,976.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.78 / $1,033.13 / $1,349.51	Professional		$344.78	$1,033.13	$1,349.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $218.52 / $539.57 / $820.01	Facility		$218.52	$539.57	$820.01
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $408.26 / $713.05 / $904.66	Professional		$408.26	$713.05	$904.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $359.71 / $713.05 / $3,612.91	Facility		$359.71	$713.05	$3,612.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $331.53 / $476.42 / $804.99	Professional		$331.53	$476.42	$804.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $457.88	Professional		$50.00	$70.00	$457.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $218.52 / $550.36 / $820.01	Facility		$218.52	$550.36	$820.01
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $408.26 / $713.05 / $904.66	Professional		$408.26	$713.05	$904.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $713.05 / $1,097.34 / $2,031.49	Professional		$713.05	$1,097.34	$2,031.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $472.30 / $1,392.68 / $3,612.91	Facility		$472.30	$1,392.68	$3,612.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $344.78 / $472.30 / $5,087.52	Professional		$344.78	$472.30	$5,087.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $713.05 / $713.05 / $713.05	Professional		$713.05	$713.05	$713.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $713.05 / $713.05 / $713.05	Professional		$713.05	$713.05	$713.05
United Facility/Professional Professional Modifier Low / Median / High Price $282.08 / $451.33 / $632.20	Professional		$282.08	$451.33	$632.20