Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.11 / $237.11 / $237.11	Facility		$237.11	$237.11	$237.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.84 / $237.11 / $397.21	Professional		$196.84	$237.11	$397.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $470.02 / $517.02 / $855.44	Facility		$470.02	$517.02	$855.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.01 / $437.12 / $578.12	Professional		$423.01	$437.12	$578.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.13 / $1,005.84 / $1,005.84	Facility		$338.13	$1,005.84	$1,005.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.27 / $1,037.89 / $1,962.19	Facility		$294.27	$1,037.89	$1,962.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $681.09 / $889.54	Professional		$214.82	$681.09	$889.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $355.67 / $540.52	Facility		$135.22	$355.67	$540.52
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $269.11 / $458.73 / $564.02	Professional		$269.11	$458.73	$564.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.08 / $470.02 / $2,188.60	Facility		$234.08	$470.02	$2,188.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $214.62 / $314.05 / $511.79	Professional		$214.62	$314.05	$511.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $317.19	Professional		$50.00	$70.00	$317.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $355.67 / $540.52	Facility		$135.22	$355.67	$540.52
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $269.11 / $458.73 / $564.02	Professional		$269.11	$458.73	$564.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $470.02 / $723.33 / $1,256.63	Professional		$470.02	$723.33	$1,256.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $294.27 / $918.00 / $2,188.60	Facility		$294.27	$918.00	$2,188.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $214.82 / $294.27 / $2,366.19	Professional		$214.82	$294.27	$2,366.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $470.02 / $470.02 / $470.02	Professional		$470.02	$470.02	$470.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $470.02 / $470.02 / $470.02	Professional		$470.02	$470.02	$470.02
United Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $315.20 / $322.77	Facility		$0.33	$315.20	$322.77
United Facility/Professional Professional Modifier Low / Median / High Price $174.55 / $312.64 / $511.79	Professional		$174.55	$312.64	$511.79