Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.95 / $211.95 / $211.95	Facility		$211.95	$211.95	$211.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.83 / $223.94 / $912.60	Professional		$182.83	$223.94	$912.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $420.15 / $462.17 / $764.67	Facility		$420.15	$462.17	$764.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.74 / $390.74 / $516.78	Professional		$390.74	$390.74	$516.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.25 / $899.12 / $899.12	Facility		$302.25	$899.12	$899.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.38 / $1,129.09 / $1,753.65	Facility		$373.38	$1,129.09	$1,753.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.37 / $699.74 / $795.16	Professional		$317.37	$699.74	$795.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $135.32 / $317.93 / $483.17	Facility		$135.32	$317.93	$483.17
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $240.56 / $420.15 / $504.18	Professional		$240.56	$420.15	$504.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $211.95 / $420.15 / $2,188.23	Facility		$211.95	$420.15	$2,188.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $195.35 / $280.72 / $457.49	Professional		$195.35	$280.72	$457.49
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 $135.32 / $324.27 / $483.17	Facility		$135.32	$324.27	$483.17
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $240.56 / $420.15 / $504.18	Professional		$240.56	$420.15	$504.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $420.15 / $646.57 / $1,257.64	Professional		$420.15	$646.57	$1,257.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $373.38 / $820.60 / $2,188.23	Facility		$373.38	$820.60	$2,188.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $317.37 / $373.38 / $2,789.75	Professional		$317.37	$373.38	$2,789.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $420.15 / $420.15 / $420.15	Professional		$420.15	$420.15	$420.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $335.48 / $420.15 / $420.15	Professional		$335.48	$420.15	$420.15
United Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $279.47 / $372.51	Professional		$164.12	$279.47	$372.51