Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.86 / $456.86 / $456.86	Facility		$456.86	$456.86	$456.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.19 / $456.86 / $456.86	Professional		$312.19	$456.86	$456.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $336.26 / $1,522.88	Professional		$336.26	$336.26	$1,522.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.72 / $380.72 / $579.32	Facility		$380.72	$380.72	$579.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,048.00 / $1,224.67 / $1,878.68	Facility		$1,048.00	$1,224.67	$1,878.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.37 / $1,025.20 / $1,165.00	Professional		$437.37	$1,025.20	$1,165.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $228.43 / $342.65 / $487.32	Facility		$228.43	$342.65	$487.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $228.43 / $380.72 / $1,808.42	Facility		$228.43	$380.72	$1,808.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $220.82 / $380.72 / $799.51	Professional		$220.82	$380.72	$799.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $190.36	Professional		$50.00	$85.00	$190.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $228.43 / $342.65 / $487.32	Facility		$228.43	$342.65	$487.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $447.26 / $907.82 / $1,294.70	Professional		$447.26	$907.82	$1,294.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $761.44 / $761.44 / $1,808.42	Facility		$761.44	$761.44	$1,808.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $810.76 / $810.76 / $810.76	Professional		$810.76	$810.76	$810.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,998.78 / $2,078.73 / $2,078.73	Professional		$1,998.78	$2,078.73	$2,078.73
United Facility/Professional Professional Modifier Low / Median / High Price $190.36 / $304.58 / $799.51	Professional		$190.36	$304.58	$799.51