Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.70 / $586.70 / $586.70	Professional		$586.70	$586.70	$586.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.75 / $1,096.21 / $3,149.11	Professional		$400.75	$1,096.21	$3,149.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $540.39 / $771.98 / $1,174.86	Facility		$540.39	$771.98	$1,174.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,124.84 / $2,483.04 / $3,809.05	Facility		$2,124.84	$2,483.04	$3,809.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $887.12 / $2,078.79 / $2,362.26	Professional		$887.12	$2,078.79	$2,362.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $463.18 / $694.78 / $988.13	Facility		$463.18	$694.78	$988.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $463.18 / $771.98 / $3,666.91	Facility		$463.18	$771.98	$3,666.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $447.75 / $771.98 / $1,621.16	Professional		$447.75	$771.98	$1,621.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $385.99	Professional		$50.00	$85.00	$385.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $463.18 / $694.78 / $988.13	Facility		$463.18	$694.78	$988.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $907.06 / $1,841.09 / $2,625.70	Professional		$907.06	$1,841.09	$2,625.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,543.96 / $1,543.96 / $3,666.91	Facility		$1,543.96	$1,543.96	$3,666.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,643.97 / $1,643.97 / $1,643.97	Professional		$1,643.97	$1,643.97	$1,643.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,052.90 / $4,215.01 / $4,215.01	Professional		$4,052.90	$4,215.01	$4,215.01
United Facility/Professional Professional Modifier Low / Median / High Price $385.99 / $463.19 / $1,621.16	Professional		$385.99	$463.19	$1,621.16