Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.51 / $556.51 / $556.51	Facility		$556.51	$556.51	$556.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.93 / $556.51 / $556.51	Professional		$435.93	$556.51	$556.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $2.58 / $1,855.04	Professional		$2.58	$2.58	$1,855.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $463.76 / $463.76 / $705.80	Facility		$463.76	$463.76	$705.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,275.99 / $1,491.09 / $2,287.37	Facility		$1,275.99	$1,491.09	$2,287.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.17 / $1,248.81 / $1,419.10	Professional		$533.17	$1,248.81	$1,419.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $278.26 / $417.38 / $593.61	Facility		$278.26	$417.38	$593.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $278.26 / $463.76 / $2,202.86	Facility		$278.26	$463.76	$2,202.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $268.98 / $463.76 / $973.90	Professional		$268.98	$463.76	$973.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $231.88	Professional		$50.00	$85.00	$231.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $278.26 / $417.38 / $593.61	Facility		$278.26	$417.38	$593.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $544.91 / $1,106.04 / $1,577.40	Professional		$544.91	$1,106.04	$1,577.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $927.52 / $927.52 / $2,202.86	Facility		$927.52	$927.52	$2,202.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $987.60 / $987.60 / $987.60	Professional		$987.60	$987.60	$987.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,532.13 / $2,532.13 / $2,532.13	Professional		$2,532.13	$2,532.13	$2,532.13
United Facility/Professional Professional Modifier Low / Median / High Price $231.88 / $371.01 / $973.90	Professional		$231.88	$371.01	$973.90