Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.37 / $390.37 / $390.37	Facility		$390.37	$390.37	$390.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.05 / $390.37 / $648.16	Professional		$289.05	$390.37	$648.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $773.83 / $851.21 / $1,408.37	Facility		$773.83	$851.21	$1,408.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $719.66 / $719.66 / $951.81	Professional		$719.66	$719.66	$951.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $556.67 / $1,656.00 / $1,656.00	Facility		$556.67	$1,656.00	$1,656.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.58 / $1,599.44 / $3,230.19	Facility		$500.58	$1,599.44	$3,230.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.42 / $1,121.25 / $1,464.53	Professional		$365.42	$1,121.25	$1,464.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $223.48 / $585.55 / $889.90	Facility		$223.48	$585.55	$889.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $443.07 / $773.83 / $928.60	Professional		$443.07	$773.83	$928.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $386.85 / $773.83 / $3,743.49	Facility		$386.85	$773.83	$3,743.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.81 / $517.04 / $865.41	Professional		$350.81	$517.04	$865.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $558.75	Professional		$50.00	$70.00	$558.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $223.48 / $597.27 / $889.90	Facility		$223.48	$597.27	$889.90
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $443.07 / $773.83 / $928.60	Professional		$443.07	$773.83	$928.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $773.83 / $1,190.88 / $2,076.66	Professional		$773.83	$1,190.88	$2,076.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $500.58 / $1,511.38 / $3,743.49	Facility		$500.58	$1,511.38	$3,743.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $365.42 / $500.58 / $4,607.35	Professional		$365.42	$500.58	$4,607.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $773.83 / $773.83 / $773.83	Professional		$773.83	$773.83	$773.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $773.83 / $773.83 / $773.83	Professional		$773.83	$773.83	$773.83
United Facility/Professional Professional Modifier Low / Median / High Price $271.04 / $461.55 / $663.67	Professional		$271.04	$461.55	$663.67