Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.76 / $400.76 / $400.76	Facility		$400.76	$400.76	$400.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.97 / $400.76 / $665.86	Professional		$329.97	$400.76	$665.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.43 / $873.87 / $1,445.86	Facility		$794.43	$873.87	$1,445.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $714.98 / $738.82 / $977.14	Professional		$714.98	$738.82	$977.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $571.51 / $1,700.08 / $1,700.08	Facility		$571.51	$1,700.08	$1,700.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $703.94 / $1,642.58 / $3,315.57	Facility		$703.94	$1,642.58	$3,315.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.35 / $1,169.67 / $1,503.53	Professional		$598.35	$1,169.67	$1,503.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $255.12 / $601.14 / $913.59	Facility		$255.12	$601.14	$913.59
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $454.86 / $792.11 / $953.32	Professional		$454.86	$792.11	$953.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $400.76 / $794.43 / $4,062.38	Facility		$400.76	$794.43	$4,062.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $369.37 / $530.80 / $865.04	Professional		$369.37	$530.80	$865.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $536.12	Professional		$50.00	$70.00	$536.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $255.12 / $601.14 / $913.59	Facility		$255.12	$601.14	$913.59
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $454.86 / $792.11 / $953.32	Professional		$454.86	$792.11	$953.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $794.43 / $1,222.59 / $2,370.73	Professional		$794.43	$1,222.59	$2,370.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $703.94 / $1,551.62 / $4,062.38	Facility		$703.94	$1,551.62	$4,062.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $598.35 / $703.94 / $4,638.25	Professional		$598.35	$703.94	$4,638.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $794.43 / $794.43 / $794.43	Professional		$794.43	$794.43	$794.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $641.08 / $794.43 / $794.43	Professional		$641.08	$794.43	$794.43
United Facility/Professional Professional Modifier Low / Median / High Price $316.49 / $526.90 / $794.43	Professional		$316.49	$526.90	$794.43