Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.54 / $417.54 / $417.54	Professional		$417.54	$417.54	$417.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $69.92 / $1,792.38	Professional		$69.92	$69.92	$1,792.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $509.20 / $509.20 / $774.71	Facility		$509.20	$509.20	$774.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,401.24 / $1,637.46 / $2,511.91	Facility		$1,401.24	$1,637.46	$2,511.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.22 / $1,371.17 / $1,558.15	Professional		$585.22	$1,371.17	$1,558.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $305.52 / $458.28 / $651.78	Facility		$305.52	$458.28	$651.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $305.52 / $509.20 / $2,418.69	Facility		$305.52	$509.20	$2,418.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.33 / $509.20 / $1,069.32	Professional		$295.33	$509.20	$1,069.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $254.60	Professional		$50.00	$85.00	$254.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $305.52 / $458.28 / $651.78	Facility		$305.52	$458.28	$651.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $598.12 / $1,214.03 / $1,731.40	Professional		$598.12	$1,214.03	$1,731.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,018.40 / $1,018.40 / $2,418.69	Facility		$1,018.40	$1,018.40	$2,418.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,084.35 / $1,084.35 / $1,084.35	Professional		$1,084.35	$1,084.35	$1,084.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,673.30 / $2,780.23 / $2,780.23	Professional		$2,673.30	$2,780.23	$2,780.23
United Facility/Professional Professional Modifier Low / Median / High Price $295.33 / $407.36 / $1,350.44	Professional		$295.33	$407.36	$1,350.44