Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.15 / $255.15 / $255.15	Facility		$255.15	$255.15	$255.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.46 / $255.15 / $423.65	Professional		$174.46	$255.15	$423.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $505.79 / $556.37 / $920.54	Facility		$505.79	$556.37	$920.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.45 / $470.38 / $622.12	Professional		$437.45	$470.38	$622.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $363.87 / $1,082.39 / $1,082.39	Facility		$363.87	$1,082.39	$1,082.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $1,117.05 / $2,110.54	Facility		$327.20	$1,117.05	$2,110.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.86 / $744.86 / $957.25	Professional		$238.86	$744.86	$957.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $382.73 / $581.66	Facility		$134.88	$382.73	$581.66
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $289.62 / $505.79 / $606.95	Professional		$289.62	$505.79	$606.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $233.49 / $505.79 / $2,220.15	Facility		$233.49	$505.79	$2,220.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $227.84 / $314.73 / $550.74	Professional		$227.84	$314.73	$550.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $282.04	Professional		$50.00	$70.00	$282.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $382.73 / $581.66	Facility		$134.88	$382.73	$581.66
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $289.62 / $505.79 / $606.95	Professional		$289.62	$505.79	$606.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $505.79 / $778.40 / $1,253.61	Professional		$505.79	$778.40	$1,253.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $987.88 / $2,220.15	Facility		$327.20	$987.88	$2,220.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $238.86 / $327.20 / $2,766.09	Professional		$238.86	$327.20	$2,766.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $505.79 / $505.79 / $505.79	Professional		$505.79	$505.79	$505.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $505.79 / $505.79 / $505.79	Professional		$505.79	$505.79	$505.79
United Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $314.41 / $321.95	Facility		$0.33	$314.41	$321.95
United Facility/Professional Professional Modifier Low / Median / High Price $174.11 / $303.47 / $505.79	Professional		$174.11	$303.47	$505.79