Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.23 / $457.35 / $462.21	Professional		$389.23	$457.35	$462.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $288.83 / $2,013.07	Professional		$288.83	$288.83	$2,013.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $740.26 / $740.26 / $740.26	Facility		$740.26	$740.26	$740.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,339.06 / $1,564.80 / $2,400.44	Facility		$1,339.06	$1,564.80	$2,400.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.98 / $1,310.16 / $1,488.81	Professional		$575.98	$1,310.16	$1,488.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $374.64 / $583.85 / $1,702.89	Facility		$374.64	$583.85	$1,702.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $374.64 / $583.85 / $1,702.89	Facility		$374.64	$583.85	$1,702.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $243.27 / $291.92 / $1,500.42	Professional		$243.27	$291.92	$1,500.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $374.64 / $583.85 / $1,702.89	Facility		$374.64	$583.85	$1,702.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $812.16 / $1,160.04 / $1,627.03	Professional		$812.16	$1,160.04	$1,627.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $973.08 / $2,311.07 / $2,311.07	Facility		$973.08	$2,311.07	$2,311.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,946.16 / $1,946.16 / $2,422.96	Professional		$1,946.16	$1,946.16	$2,422.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,036.10 / $1,036.10 / $1,036.10	Professional		$1,036.10	$1,036.10	$1,036.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,656.51 / $2,656.51 / $2,656.51	Professional		$2,656.51	$2,656.51	$2,656.51
United Facility/Professional Facility Modifier Low / Median / High Price $583.85 / $583.85 / $583.85	Facility		$583.85	$583.85	$583.85
United Facility/Professional Professional Modifier Low / Median / High Price $204.35 / $291.92 / $905.65	Professional		$204.35	$291.92	$905.65