Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.27 / $432.27 / $432.27	Professional		$432.27	$432.27	$432.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.58 / $2.58 / $1,839.44	Professional		$2.58	$2.58	$1,839.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $459.86 / $459.86 / $699.90	Facility		$459.86	$459.86	$699.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,265.17 / $1,478.45 / $2,267.98	Facility		$1,265.17	$1,478.45	$2,267.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.64 / $1,238.31 / $1,407.18	Professional		$528.64	$1,238.31	$1,407.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $275.92 / $413.87 / $588.62	Facility		$275.92	$413.87	$588.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.92 / $459.86 / $2,184.34	Facility		$275.92	$459.86	$2,184.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $266.72 / $459.86 / $965.71	Professional		$266.72	$459.86	$965.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $229.93	Professional		$85.00	$85.00	$229.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $275.92 / $413.87 / $588.62	Facility		$275.92	$413.87	$588.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $540.36 / $1,096.79 / $1,564.20	Professional		$540.36	$1,096.79	$1,564.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $919.72 / $919.72 / $2,184.34	Facility		$919.72	$919.72	$2,184.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $979.29 / $979.29 / $979.29	Professional		$979.29	$979.29	$979.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,510.84 / $2,510.84 / $2,510.84	Professional		$2,510.84	$2,510.84	$2,510.84
United Facility/Professional Professional Modifier Low / Median / High Price $229.93 / $400.08 / $965.71	Professional		$229.93	$400.08	$965.71