Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.28 / $224.28 / $224.28	Facility		$224.28	$224.28	$224.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $224.28 / $375.75	Professional		$186.21	$224.28	$375.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $444.59 / $489.05 / $809.15	Facility		$444.59	$489.05	$809.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.13 / $413.47 / $546.84	Professional		$400.13	$413.47	$546.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $319.83 / $951.42 / $951.42	Facility		$319.83	$951.42	$951.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $981.81 / $1,855.82	Facility		$286.80	$981.81	$1,855.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.36 / $740.45 / $841.43	Professional		$209.36	$740.45	$841.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $127.91 / $336.42 / $511.28	Facility		$127.91	$336.42	$511.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $254.55 / $433.90 / $533.51	Professional		$254.55	$433.90	$533.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $221.42 / $444.59 / $2,070.19	Facility		$221.42	$444.59	$2,070.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $203.01 / $297.05 / $484.11	Professional		$203.01	$297.05	$484.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $127.91 / $336.42 / $511.28	Facility		$127.91	$336.42	$511.28
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $254.55 / $433.90 / $533.51	Professional		$254.55	$433.90	$533.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $444.59 / $684.21 / $1,188.38	Professional		$444.59	$684.21	$1,188.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $286.80 / $868.34 / $2,070.19	Facility		$286.80	$868.34	$2,070.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $209.36 / $286.80 / $2,238.21	Professional		$209.36	$286.80	$2,238.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $444.59 / $444.59 / $444.59	Professional		$444.59	$444.59	$444.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $444.59 / $444.59 / $444.59	Professional		$444.59	$444.59	$444.59
United Facility/Professional Professional Modifier Low / Median / High Price $165.11 / $264.18 / $444.59	Professional		$165.11	$264.18	$444.59