Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.57 / $391.57 / $391.57	Facility		$391.57	$391.57	$391.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.83 / $391.57 / $650.16	Professional		$284.83	$391.57	$650.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.22 / $853.84 / $1,412.72	Facility		$776.22	$853.84	$1,412.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $721.88 / $721.88 / $954.75	Professional		$721.88	$721.88	$954.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $558.41 / $1,661.11 / $1,661.11	Facility		$558.41	$1,661.11	$1,661.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.25 / $1,605.05 / $3,239.99	Facility		$427.25	$1,605.05	$3,239.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.89 / $1,125.00 / $1,469.06	Professional		$311.89	$1,125.00	$1,469.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $220.22 / $587.36 / $892.65	Facility		$220.22	$587.36	$892.65
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $444.45 / $776.22 / $931.46	Professional		$444.45	$776.22	$931.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $381.21 / $776.22 / $3,613.43	Facility		$381.21	$776.22	$3,613.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $349.66 / $513.84 / $852.78	Professional		$349.66	$513.84	$852.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $594.04	Professional		$50.00	$70.00	$594.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $220.22 / $587.36 / $892.65	Facility		$220.22	$587.36	$892.65
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $444.45 / $776.22 / $931.46	Professional		$444.45	$776.22	$931.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $776.22 / $1,194.58 / $2,046.54	Professional		$776.22	$1,194.58	$2,046.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $427.25 / $1,516.06 / $3,613.43	Facility		$427.25	$1,516.06	$3,613.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $311.89 / $427.25 / $4,729.14	Professional		$311.89	$427.25	$4,729.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $776.22 / $776.22 / $776.22	Professional		$776.22	$776.22	$776.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $619.79 / $776.22 / $776.22	Professional		$619.79	$776.22	$776.22
United Facility/Professional Professional Modifier Low / Median / High Price $308.30 / $465.73 / $776.22	Professional		$308.30	$465.73	$776.22