Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.73 / $284.73 / $284.73	Facility		$284.73	$284.73	$284.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.79 / $284.73 / $472.75	Professional		$200.79	$284.73	$472.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $564.41 / $620.86 / $1,027.24	Facility		$564.41	$620.86	$1,027.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.16 / $524.91 / $694.23	Professional		$488.16	$524.91	$694.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $406.04 / $1,207.85 / $1,207.85	Facility		$406.04	$1,207.85	$1,207.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.10 / $1,166.96 / $2,355.46	Facility		$365.10	$1,166.96	$2,355.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $817.97 / $1,068.20	Professional		$266.52	$817.97	$1,068.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $155.24 / $427.10 / $649.08	Facility		$155.24	$427.10	$649.08
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $323.14 / $564.41 / $677.30	Professional		$323.14	$564.41	$677.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $268.73 / $564.41 / $2,633.25	Facility		$268.73	$564.41	$2,633.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $254.23 / $362.23 / $614.58	Professional		$254.23	$362.23	$614.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $383.26	Professional		$50.00	$70.00	$383.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $155.24 / $427.10 / $649.08	Facility		$155.24	$427.10	$649.08
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $323.14 / $564.41 / $677.30	Professional		$323.14	$564.41	$677.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $564.41 / $868.60 / $1,443.32	Professional		$564.41	$868.60	$1,443.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $365.10 / $1,102.38 / $2,633.25	Facility		$365.10	$1,102.38	$2,633.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $365.10 / $3,084.82	Professional		$266.52	$365.10	$3,084.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $564.41 / $564.41 / $564.41	Professional		$564.41	$564.41	$564.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $564.41 / $564.41 / $564.41	Professional		$564.41	$564.41	$564.41
United Facility/Professional Professional Modifier Low / Median / High Price $200.39 / $320.62 / $500.42	Professional		$200.39	$320.62	$500.42