Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.49 / $389.49 / $389.49	Facility		$389.49	$389.49	$389.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.61 / $389.49 / $646.69	Professional		$279.61	$389.49	$646.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $772.09 / $849.30 / $1,405.20	Facility		$772.09	$849.30	$1,405.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $694.88 / $718.04 / $949.67	Professional		$694.88	$718.04	$949.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $555.42 / $1,652.27 / $1,652.27	Facility		$555.42	$1,652.27	$1,652.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.41 / $1,596.62 / $3,223.20	Facility		$419.41	$1,596.62	$3,223.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.17 / $1,285.89 / $1,461.24	Professional		$306.17	$1,285.89	$1,461.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $216.18 / $584.24 / $887.90	Facility		$216.18	$584.24	$887.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $442.07 / $772.09 / $926.51	Professional		$442.07	$772.09	$926.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $374.22 / $772.09 / $3,569.44	Facility		$374.22	$772.09	$3,569.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $339.36 / $504.42 / $840.70	Professional		$339.36	$504.42	$840.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $484.11	Professional		$50.00	$70.00	$484.11
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $216.18 / $584.24 / $887.90	Facility		$216.18	$584.24	$887.90
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $442.07 / $772.09 / $926.51	Professional		$442.07	$772.09	$926.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $772.09 / $1,188.20 / $2,009.41	Professional		$772.09	$1,188.20	$2,009.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $419.41 / $1,507.98 / $3,569.44	Facility		$419.41	$1,507.98	$3,569.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $306.17 / $419.41 / $4,296.24	Professional		$306.17	$419.41	$4,296.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $772.09 / $772.09 / $772.09	Professional		$772.09	$772.09	$772.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $616.49 / $772.09 / $772.09	Professional		$616.49	$772.09	$772.09
United Facility/Professional Professional Modifier Low / Median / High Price $302.64 / $463.25 / $662.18	Professional		$302.64	$463.25	$662.18