Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.48 / $631.48 / $631.48	Facility		$631.48	$631.48	$631.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.48 / $631.48 / $631.48	Professional		$631.48	$631.48	$631.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $69.92 / $1,852.33	Professional		$69.92	$69.92	$1,852.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $526.23 / $526.23 / $800.80	Facility		$526.23	$526.23	$800.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,448.10 / $1,692.22 / $2,595.91	Facility		$1,448.10	$1,692.22	$2,595.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.63 / $1,417.03 / $1,610.26	Professional		$604.63	$1,417.03	$1,610.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $315.72 / $473.61 / $673.57	Facility		$315.72	$473.61	$673.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $315.72 / $526.23 / $2,499.59	Facility		$315.72	$526.23	$2,499.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $305.20 / $526.23 / $1,105.08	Professional		$305.20	$526.23	$1,105.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $85.00	Professional		$50.00	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $315.72 / $473.61 / $673.57	Facility		$315.72	$473.61	$673.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $618.26 / $1,254.91 / $1,789.70	Professional		$618.26	$1,254.91	$1,789.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,052.46 / $1,052.46 / $2,499.59	Facility		$1,052.46	$1,052.46	$2,499.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,120.63 / $1,120.63 / $1,120.63	Professional		$1,120.63	$1,120.63	$1,120.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,762.71 / $2,873.22 / $2,873.22	Professional		$2,762.71	$2,873.22	$2,873.22
United Facility/Professional Professional Modifier Low / Median / High Price $284.16 / $420.98 / $979.52	Professional		$284.16	$420.98	$979.52