Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.53 / $480.53 / $480.53	Professional		$480.53	$480.53	$480.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.13 / $168.13 / $2,044.80	Professional		$168.13	$168.13	$2,044.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $511.20 / $511.20 / $777.67	Facility		$511.20	$511.20	$777.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,406.65 / $1,643.78 / $2,521.60	Facility		$1,406.65	$1,643.78	$2,521.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.29 / $1,376.56 / $1,564.28	Professional		$587.29	$1,376.56	$1,564.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $306.72 / $460.08 / $654.34	Facility		$306.72	$460.08	$654.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $306.72 / $480.53 / $2,428.19	Facility		$306.72	$480.53	$2,428.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $296.50 / $511.20 / $1,073.52	Professional		$296.50	$511.20	$1,073.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $306.72 / $460.08 / $654.34	Facility		$306.72	$460.08	$654.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $600.40 / $1,218.65 / $1,738.00	Professional		$600.40	$1,218.65	$1,738.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,022.40 / $1,022.40 / $2,428.19	Facility		$1,022.40	$1,022.40	$2,428.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,088.61 / $1,088.61 / $1,088.61	Professional		$1,088.61	$1,088.61	$1,088.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,791.15 / $2,791.15 / $2,791.15	Professional		$2,791.15	$2,791.15	$2,791.15
United Facility/Professional Professional Modifier Low / Median / High Price $276.05 / $444.74 / $951.55	Professional		$276.05	$444.74	$951.55