Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.20 / $246.20 / $246.20	Facility		$246.20	$246.20	$246.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.83 / $246.20 / $408.78	Professional		$187.83	$246.20	$408.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $488.04 / $536.84 / $888.23	Facility		$488.04	$536.84	$888.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.10 / $453.88 / $600.28	Professional		$422.10	$453.88	$600.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $351.09 / $1,044.41 / $1,044.41	Facility		$351.09	$1,044.41	$1,044.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.70 / $1,009.36 / $2,037.77	Facility		$315.70	$1,009.36	$2,037.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.47 / $707.34 / $923.65	Professional		$230.47	$707.34	$923.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $141.94 / $369.30 / $561.25	Facility		$141.94	$369.30	$561.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $279.44 / $488.04 / $585.65	Professional		$279.44	$488.04	$585.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.71 / $488.04 / $2,274.39	Facility		$245.71	$488.04	$2,274.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $219.87 / $326.10 / $531.41	Professional		$219.87	$326.10	$531.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $295.52	Professional		$50.00	$70.00	$295.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $141.94 / $369.30 / $561.25	Facility		$141.94	$369.30	$561.25
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $279.44 / $488.04 / $585.65	Professional		$279.44	$488.04	$585.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $488.04 / $751.08 / $1,318.86	Professional		$488.04	$751.08	$1,318.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $315.70 / $953.20 / $2,274.39	Facility		$315.70	$953.20	$2,274.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $230.47 / $315.70 / $2,581.46	Professional		$230.47	$315.70	$2,581.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $488.04 / $488.04 / $488.04	Professional		$488.04	$488.04	$488.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $488.04 / $488.04 / $488.04	Professional		$488.04	$488.04	$488.04
United Facility/Professional Professional Modifier Low / Median / High Price $183.23 / $293.16 / $432.70	Professional		$183.23	$293.16	$432.70