Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.13 / $265.13 / $265.13	Facility		$265.13	$265.13	$265.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.27 / $265.13 / $442.47	Professional		$219.27	$265.13	$442.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $525.58 / $578.14 / $956.56	Facility		$525.58	$578.14	$956.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.79 / $488.79 / $646.46	Professional		$488.79	$488.79	$646.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $378.10 / $1,124.74 / $1,124.74	Facility		$378.10	$1,124.74	$1,124.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.61 / $1,412.06 / $2,193.12	Facility		$420.61	$1,412.06	$2,193.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.52 / $773.91 / $994.70	Professional		$357.52	$773.91	$994.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $152.43 / $397.70 / $604.41	Facility		$152.43	$397.70	$604.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $300.93 / $525.58 / $630.70	Professional		$300.93	$525.58	$630.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.87 / $525.58 / $2,275.37	Facility		$263.87	$525.58	$2,275.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.29 / $351.17 / $572.29	Professional		$239.29	$351.17	$572.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $316.33	Professional		$50.00	$70.00	$316.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $152.43 / $397.70 / $604.41	Facility		$152.43	$397.70	$604.41
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $300.93 / $525.58 / $630.70	Professional		$300.93	$525.58	$630.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $525.58 / $808.84 / $1,417.22	Professional		$525.58	$808.84	$1,417.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $420.61 / $1,026.52 / $2,275.37	Facility		$420.61	$1,026.52	$2,275.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $357.52 / $420.61 / $2,617.39	Professional		$357.52	$420.61	$2,617.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $525.58 / $525.58 / $525.58	Professional		$525.58	$525.58	$525.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $419.65 / $525.58 / $525.58	Professional		$419.65	$525.58	$525.58
United Facility/Professional Professional Modifier Low / Median / High Price $184.88 / $315.35 / $465.98	Professional		$184.88	$315.35	$465.98