Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.70 / $406.70 / $406.70	Facility		$406.70	$406.70	$406.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.85 / $406.70 / $675.28	Professional		$312.85	$406.70	$675.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $806.21 / $886.83 / $1,467.30	Facility		$806.21	$886.83	$1,467.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $697.29 / $749.78 / $991.63	Professional		$697.29	$749.78	$991.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $579.98 / $1,725.29 / $1,725.29	Facility		$579.98	$1,725.29	$1,725.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.79 / $1,666.97 / $3,364.55	Facility		$418.79	$1,666.97	$3,364.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.72 / $1,168.13 / $1,525.81	Professional		$305.72	$1,168.13	$1,525.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $215.86 / $610.04 / $927.14	Facility		$215.86	$610.04	$927.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $461.60 / $670.20 / $967.45	Professional		$461.60	$670.20	$967.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $373.66 / $806.21 / $3,451.92	Facility		$373.66	$806.21	$3,451.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.14 / $503.66 / $877.86	Professional		$363.14	$503.66	$877.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $486.13	Professional		$50.00	$70.00	$486.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $215.86 / $610.04 / $927.14	Facility		$215.86	$610.04	$927.14
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $461.60 / $670.20 / $967.45	Professional		$461.60	$670.20	$967.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $806.21 / $1,240.70 / $2,006.40	Professional		$806.21	$1,240.70	$2,006.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $418.79 / $1,574.62 / $3,451.92	Facility		$418.79	$1,574.62	$3,451.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $305.72 / $418.79 / $3,683.44	Professional		$305.72	$418.79	$3,683.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $806.21 / $806.21 / $806.21	Professional		$806.21	$806.21	$806.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $806.21 / $806.21 / $806.21	Professional		$806.21	$806.21	$806.21
United Facility/Professional Facility Modifier Low / Median / High Price $306.73 / $306.73 / $306.73	Facility		$306.73	$306.73	$306.73
United Facility/Professional Professional Modifier Low / Median / High Price $278.63 / $483.73 / $714.80	Professional		$278.63	$483.73	$714.80