Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.46 / $339.46 / $339.46	Facility		$339.46	$339.46	$339.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.82 / $265.91 / $339.46	Professional		$217.82	$265.91	$339.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.02 / $335.33 / $1,131.52	Professional		$285.02	$335.33	$1,131.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $430.67 / $430.67 / $430.67	Facility		$430.67	$430.67	$430.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.57 / $909.82 / $1,395.68	Facility		$778.57	$909.82	$1,395.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.21 / $761.74 / $865.61	Professional		$335.21	$761.74	$865.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $217.82 / $339.46 / $990.08	Facility		$217.82	$339.46	$990.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $217.82 / $339.46 / $990.08	Facility		$217.82	$339.46	$990.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $169.73 / $872.36	Professional		$141.44	$169.73	$872.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $780.75	Professional		$50.00	$70.00	$780.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $217.82 / $339.46 / $990.08	Facility		$217.82	$339.46	$990.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $472.50 / $674.89 / $946.58	Professional		$472.50	$674.89	$946.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $565.76 / $1,343.68 / $1,343.68	Facility		$565.76	$1,343.68	$1,343.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,131.52 / $1,131.52 / $1,408.74	Professional		$1,131.52	$1,131.52	$1,408.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $602.41 / $602.41 / $602.41	Professional		$602.41	$602.41	$602.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $822.11 / $1,544.52 / $1,544.52	Professional		$822.11	$1,544.52	$1,544.52
United Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $282.88 / $282.88	Facility		$282.88	$282.88	$282.88
United Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $169.73 / $594.04	Professional		$141.44	$169.73	$594.04