Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.89 / $355.00 / $355.00	Professional		$284.89	$355.00	$355.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.31 / $241.31 / $1,424.52	Professional		$241.31	$241.31	$1,424.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $541.90 / $541.90 / $541.90	Facility		$541.90	$541.90	$541.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $980.42 / $1,145.70 / $1,757.53	Facility		$980.42	$1,145.70	$1,757.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.56 / $958.99 / $1,089.76	Professional		$421.56	$958.99	$1,089.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $274.22 / $427.36 / $1,246.46	Facility		$274.22	$427.36	$1,246.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $274.22 / $427.36 / $1,246.46	Facility		$274.22	$427.36	$1,246.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $178.07 / $213.68 / $1,098.25	Professional		$178.07	$213.68	$1,098.25
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 $274.22 / $427.36 / $1,246.46	Facility		$274.22	$427.36	$1,246.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $520.44 / $847.77 / $1,191.06	Professional		$520.44	$847.77	$1,191.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $712.26 / $1,691.62 / $1,691.62	Facility		$712.26	$1,691.62	$1,691.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,424.52 / $1,424.52 / $1,773.53	Professional		$1,424.52	$1,424.52	$1,773.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $758.39 / $758.39 / $758.39	Professional		$758.39	$758.39	$758.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,034.99 / $1,944.47 / $1,944.47	Professional		$1,034.99	$1,944.47	$1,944.47
United Facility/Professional Professional Modifier Low / Median / High Price $149.57 / $213.68 / $747.87	Professional		$149.57	$213.68	$747.87