Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.23 / $669.72 / $669.72	Professional		$584.23	$669.72	$669.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $8.92 / $2,849.88	Professional		$8.92	$8.92	$2,849.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $712.47 / $712.47 / $1,084.30	Facility		$712.47	$712.47	$1,084.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,960.84 / $2,291.39 / $3,515.06	Facility		$1,960.84	$2,291.39	$3,515.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.98 / $1,918.54 / $2,180.16	Professional		$818.98	$1,918.54	$2,180.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $427.48 / $584.23 / $854.96	Facility		$427.48	$584.23	$854.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $427.48 / $641.22 / $3,384.23	Facility		$427.48	$641.22	$3,384.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $413.23 / $712.47 / $1,496.19	Professional		$413.23	$712.47	$1,496.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $356.24	Professional		$85.00	$85.00	$356.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $427.48 / $584.23 / $854.96	Facility		$427.48	$584.23	$854.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $837.14 / $1,699.17 / $2,423.30	Professional		$837.14	$1,699.17	$2,423.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,424.94 / $1,424.94 / $3,384.23	Facility		$1,424.94	$1,424.94	$3,384.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,517.56 / $1,517.56 / $1,517.56	Professional		$1,517.56	$1,517.56	$1,517.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.09 / $3,890.09 / $3,890.09	Professional		$3,890.09	$3,890.09	$3,890.09
United Facility/Professional Facility Modifier Low / Median / High Price $854.96 / $854.96 / $854.96	Facility		$854.96	$854.96	$854.96
United Facility/Professional Professional Modifier Low / Median / High Price $384.73 / $569.98 / $1,326.19	Professional		$384.73	$569.98	$1,326.19