Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $952.79 / $952.79 / $952.79	Facility		$952.79	$952.79	$952.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.62 / $401.62 / $401.62	Professional		$401.62	$401.62	$401.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.97 / $56.97 / $1,742.90	Professional		$56.97	$56.97	$1,742.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $650.17 / $1,044.19 / $1,044.19	Facility		$650.17	$1,044.19	$1,044.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,175.96 / $1,374.20 / $2,108.06	Facility		$1,175.96	$1,374.20	$2,108.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.79 / $1,150.52 / $1,307.41	Professional		$505.79	$1,150.52	$1,307.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $328.99 / $512.71 / $1,495.41	Facility		$328.99	$512.71	$1,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $384.53 / $512.71 / $1,495.41	Facility		$384.53	$512.71	$1,495.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.63 / $256.36 / $1,317.61	Professional		$213.63	$256.36	$1,317.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $328.99 / $512.71 / $1,495.41	Facility		$328.99	$512.71	$1,495.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $713.34 / $1,018.89 / $1,429.06	Professional		$713.34	$1,018.89	$1,429.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $854.52 / $2,029.49 / $2,029.49	Facility		$854.52	$2,029.49	$2,029.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,709.04 / $2,136.30 / $2,136.30	Professional		$1,709.04	$2,136.30	$2,136.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $909.87 / $909.87 / $909.87	Professional		$909.87	$909.87	$909.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,241.71 / $2,332.84 / $2,332.84	Professional		$1,241.71	$2,332.84	$2,332.84
United Facility/Professional Professional Modifier Low / Median / High Price $192.27 / $256.36 / $795.30	Professional		$192.27	$256.36	$795.30