Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.52 / $386.52 / $386.52	Facility		$386.52	$386.52	$386.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.66 / $386.52 / $641.78	Professional		$286.66	$386.52	$641.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $766.21 / $842.83 / $1,394.50	Facility		$766.21	$842.83	$1,394.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $689.58 / $712.58 / $942.43	Professional		$689.58	$712.58	$942.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $551.21 / $1,639.69 / $1,639.69	Facility		$551.21	$1,639.69	$1,639.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.47 / $1,584.42 / $3,198.00	Facility		$528.47	$1,584.42	$3,198.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.78 / $1,110.47 / $1,450.11	Professional		$385.78	$1,110.47	$1,450.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $204.78 / $579.78 / $881.14	Facility		$204.78	$579.78	$881.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $438.70 / $758.56 / $919.45	Professional		$438.70	$758.56	$919.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.48 / $766.21 / $3,410.50	Facility		$354.48	$766.21	$3,410.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $333.62 / $477.82 / $834.31	Professional		$333.62	$477.82	$834.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $398.37	Professional		$50.00	$70.00	$398.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $204.78 / $579.78 / $881.14	Facility		$204.78	$579.78	$881.14
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $438.70 / $758.56 / $919.45	Professional		$438.70	$758.56	$919.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $766.21 / $1,179.17 / $1,903.02	Professional		$766.21	$1,179.17	$1,903.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $528.47 / $1,496.50 / $3,410.50	Facility		$528.47	$1,496.50	$3,410.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $385.78 / $528.47 / $4,196.41	Professional		$385.78	$528.47	$4,196.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $766.21 / $766.21 / $766.21	Professional		$766.21	$766.21	$766.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $766.21 / $766.21 / $766.21	Professional		$766.21	$766.21	$766.21
United Facility/Professional Professional Modifier Low / Median / High Price $305.25 / $419.17 / $741.79	Professional		$305.25	$419.17	$741.79