Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.39 / $281.39 / $281.39	Facility		$281.39	$281.39	$281.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.28 / $281.39 / $467.24	Professional		$174.28	$281.39	$467.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $557.82 / $613.60 / $1,015.23	Facility		$557.82	$613.60	$1,015.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.45 / $518.77 / $686.11	Professional		$482.45	$518.77	$686.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $401.30 / $1,193.73 / $1,193.73	Facility		$401.30	$1,193.73	$1,193.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.86 / $1,152.90 / $2,328.87	Facility		$360.86	$1,152.90	$2,328.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.43 / $808.13 / $1,055.73	Professional		$263.43	$808.13	$1,055.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $134.75 / $422.10 / $641.49	Facility		$134.75	$422.10	$641.49
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $319.39 / $557.82 / $669.38	Professional		$319.39	$557.82	$669.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $233.25 / $557.82 / $2,281.13	Facility		$233.25	$557.82	$2,281.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $222.23 / $314.48 / $607.41	Professional		$222.23	$314.48	$607.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $231.98	Professional		$50.00	$70.00	$231.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $134.75 / $422.10 / $641.49	Facility		$134.75	$422.10	$641.49
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $319.39 / $557.82 / $669.38	Professional		$319.39	$557.82	$669.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $557.82 / $836.73 / $1,252.61	Professional		$557.82	$836.73	$1,252.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $360.86 / $1,089.50 / $2,281.13	Facility		$360.86	$1,089.50	$2,281.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.43 / $360.86 / $3,091.23	Professional		$263.43	$360.86	$3,091.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $557.82 / $557.82 / $557.82	Professional		$557.82	$557.82	$557.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $557.82 / $557.82 / $557.82	Professional		$557.82	$557.82	$557.82
United Facility/Professional Professional Modifier Low / Median / High Price $185.53 / $299.44 / $521.80	Professional		$185.53	$299.44	$521.80