Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.62 / $361.62 / $361.62	Facility		$361.62	$361.62	$361.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.04 / $283.27 / $361.62	Professional		$232.04	$283.27	$361.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $120.54 / $1,246.84	Professional		$120.54	$120.54	$1,246.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $458.73 / $458.73 / $458.73	Facility		$458.73	$458.73	$458.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $829.03 / $968.79 / $1,486.15	Facility		$829.03	$968.79	$1,486.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.90 / $811.47 / $922.13	Professional		$356.90	$811.47	$922.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $232.04 / $361.62 / $1,054.73	Facility		$232.04	$361.62	$1,054.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $232.04 / $361.62 / $1,054.73	Facility		$232.04	$361.62	$1,054.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.68 / $180.81 / $929.32	Professional		$150.68	$180.81	$929.32
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 $232.04 / $361.62 / $1,054.73	Facility		$232.04	$361.62	$1,054.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $503.28 / $718.85 / $1,008.24	Professional		$503.28	$718.85	$1,008.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $602.70 / $1,431.41 / $1,431.41	Facility		$602.70	$1,431.41	$1,431.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,205.40 / $1,205.40 / $1,500.72	Professional		$1,205.40	$1,205.40	$1,500.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $641.74 / $641.74 / $641.74	Professional		$641.74	$641.74	$641.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,645.37 / $1,645.37 / $1,645.37	Professional		$1,645.37	$1,645.37	$1,645.37
United Facility/Professional Professional Modifier Low / Median / High Price $150.68 / $180.81 / $560.92	Professional		$150.68	$180.81	$560.92