Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.51 / $338.51 / $338.51	Facility		$338.51	$338.51	$338.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.02 / $338.51 / $567.05	Professional		$281.02	$338.51	$567.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $671.03 / $738.13 / $1,221.27	Facility		$671.03	$738.13	$1,221.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $597.75 / $624.05 / $825.36	Professional		$597.75	$624.05	$825.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $482.73 / $1,436.00 / $1,436.00	Facility		$482.73	$1,436.00	$1,436.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.07 / $1,481.71 / $2,800.53	Facility		$434.07	$1,481.71	$2,800.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.87 / $987.74 / $1,269.98	Professional		$316.87	$987.74	$1,269.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $193.05 / $507.77 / $771.68	Facility		$193.05	$507.77	$771.68
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $384.20 / $654.91 / $805.24	Professional		$384.20	$654.91	$805.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $334.18 / $671.03 / $3,124.60	Facility		$334.18	$671.03	$3,124.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $306.39 / $448.34 / $730.66	Professional		$306.39	$448.34	$730.66
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 $193.05 / $507.77 / $771.68	Facility		$193.05	$507.77	$771.68
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $384.20 / $654.91 / $805.24	Professional		$384.20	$654.91	$805.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $671.03 / $1,032.68 / $1,794.62	Professional		$671.03	$1,032.68	$1,794.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $434.07 / $1,310.59 / $3,124.60	Facility		$434.07	$1,310.59	$3,124.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $316.87 / $434.07 / $3,378.23	Professional		$316.87	$434.07	$3,378.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $671.03 / $671.03 / $671.03	Professional		$671.03	$671.03	$671.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $671.03 / $671.03 / $671.03	Professional		$671.03	$671.03	$671.03
United Facility/Professional Professional Modifier Low / Median / High Price $267.33 / $402.62 / $594.94	Professional		$267.33	$402.62	$594.94