Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.33 / $282.33 / $282.33	Facility		$282.33	$282.33	$282.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $282.33 / $473.03	Professional		$234.42	$282.33	$473.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $559.66 / $615.64 / $1,018.60	Facility		$559.66	$615.64	$1,018.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $503.70 / $520.49 / $688.39	Professional		$503.70	$520.49	$688.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $402.62 / $1,197.69 / $1,197.69	Facility		$402.62	$1,197.69	$1,197.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.03 / $1,156.65 / $2,335.87	Facility		$362.03	$1,156.65	$2,335.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $810.94 / $1,059.21	Professional		$264.27	$810.94	$1,059.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $161.02 / $423.50 / $643.62	Facility		$161.02	$423.50	$643.62
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $320.45 / $546.23 / $671.60	Professional		$320.45	$546.23	$671.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $278.74 / $559.66 / $2,615.79	Facility		$278.74	$559.66	$2,615.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $252.77 / $373.95 / $609.41	Professional		$252.77	$373.95	$609.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $364.43	Professional		$50.00	$70.00	$364.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $161.02 / $423.50 / $643.62	Facility		$161.02	$423.50	$643.62
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $320.45 / $546.23 / $671.60	Professional		$320.45	$546.23	$671.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $559.66 / $861.32 / $1,496.52	Professional		$559.66	$861.32	$1,496.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $362.03 / $1,093.09 / $2,615.79	Facility		$362.03	$1,093.09	$2,615.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $362.03 / $2,817.63	Professional		$264.27	$362.03	$2,817.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $559.66 / $559.66 / $559.66	Professional		$559.66	$559.66	$559.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $559.66 / $559.66 / $559.66	Professional		$559.66	$559.66	$559.66
United Facility/Professional Professional Modifier Low / Median / High Price $222.96 / $335.80 / $496.21	Professional		$222.96	$335.80	$496.21