Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.90 / $355.90 / $355.90	Facility		$355.90	$355.90	$355.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.22 / $355.90 / $640.12	Professional		$317.22	$355.90	$640.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $705.49 / $776.04 / $1,283.99	Facility		$705.49	$776.04	$1,283.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.11 / $656.11 / $867.75	Professional		$656.11	$656.11	$867.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $507.52 / $1,509.75 / $1,509.75	Facility		$507.52	$1,509.75	$1,509.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.56 / $1,458.70 / $2,944.68	Facility		$448.56	$1,458.70	$2,944.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.45 / $1,022.34 / $1,335.19	Professional		$327.45	$1,022.34	$1,335.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $227.22 / $533.85 / $811.31	Facility		$227.22	$533.85	$811.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $403.95 / $705.49 / $940.65	Professional		$403.95	$705.49	$940.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $355.90 / $703.33 / $3,726.17	Facility		$355.90	$703.33	$3,726.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $328.02 / $471.39 / $796.49	Professional		$328.02	$471.39	$796.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $411.56	Professional		$50.00	$70.00	$411.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $227.22 / $533.85 / $811.31	Facility		$227.22	$533.85	$811.31
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $403.95 / $705.49 / $940.65	Professional		$403.95	$705.49	$940.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $705.49 / $1,085.73 / $2,111.78	Professional		$705.49	$1,085.73	$2,111.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $448.56 / $1,377.90 / $3,726.17	Facility		$448.56	$1,377.90	$3,726.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $327.45 / $448.56 / $4,656.22	Professional		$327.45	$448.56	$4,656.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $705.49 / $705.49 / $705.49	Professional		$705.49	$705.49	$705.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $563.32 / $705.49 / $705.49	Professional		$563.32	$705.49	$705.49
United Facility/Professional Facility Modifier Low / Median / High Price $470.15 / $470.15 / $470.15	Facility		$470.15	$470.15	$470.15
United Facility/Professional Professional Modifier Low / Median / High Price $281.06 / $469.28 / $705.49	Professional		$281.06	$469.28	$705.49