Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.90 / $468.90 / $468.90	Facility		$468.90	$468.90	$468.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.42 / $367.31 / $468.90	Professional		$320.42	$367.31	$468.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.55 / $203.55 / $1,563.00	Professional		$203.55	$203.55	$1,563.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $390.75 / $390.75 / $594.55	Facility		$390.75	$390.75	$594.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,075.04 / $1,256.26 / $1,927.14	Facility		$1,075.04	$1,256.26	$1,927.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.93 / $1,052.22 / $1,195.70	Professional		$448.93	$1,052.22	$1,195.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $234.45 / $351.68 / $500.16	Facility		$234.45	$351.68	$500.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.45 / $390.75 / $1,856.06	Facility		$234.45	$390.75	$1,856.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $226.64 / $390.75 / $820.58	Professional		$226.64	$390.75	$820.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $195.38	Professional		$50.00	$85.00	$195.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $234.45 / $351.68 / $500.16	Facility		$234.45	$351.68	$500.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $459.04 / $931.73 / $1,328.80	Professional		$459.04	$931.73	$1,328.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $781.50 / $781.50 / $1,856.06	Facility		$781.50	$781.50	$1,856.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $832.12 / $832.12 / $832.12	Professional		$832.12	$832.12	$832.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,133.50 / $2,133.50 / $2,133.50	Professional		$2,133.50	$2,133.50	$2,133.50
United Facility/Professional Facility Modifier Low / Median / High Price $390.75 / $390.75 / $390.75	Facility		$390.75	$390.75	$390.75
United Facility/Professional Professional Modifier Low / Median / High Price $195.38 / $312.60 / $820.58	Professional		$195.38	$312.60	$820.58