Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.54 / $571.67 / $571.67	Professional		$486.54	$571.67	$571.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.15 / $113.15 / $2,516.31	Professional		$113.15	$113.15	$2,516.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $925.33 / $925.33 / $925.33	Facility		$925.33	$925.33	$925.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,673.38 / $1,955.48 / $2,999.75	Facility		$1,673.38	$1,955.48	$2,999.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $719.76 / $1,637.68 / $1,861.00	Professional		$719.76	$1,637.68	$1,861.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $468.29 / $729.80 / $2,128.60	Facility		$468.29	$729.80	$2,128.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $468.29 / $729.80 / $2,128.60	Facility		$468.29	$729.80	$2,128.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $304.08 / $364.90 / $1,875.51	Professional		$304.08	$364.90	$1,875.51
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 $468.29 / $729.80 / $2,128.60	Facility		$468.29	$729.80	$2,128.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,015.20 / $1,450.04 / $2,033.78	Professional		$1,015.20	$1,450.04	$2,033.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,216.33 / $2,888.81 / $2,888.81	Facility		$1,216.33	$2,888.81	$2,888.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,432.67 / $2,432.67 / $3,028.69	Professional		$2,432.67	$2,432.67	$3,028.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,295.40 / $1,295.40 / $1,295.40	Professional		$1,295.40	$1,295.40	$1,295.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,320.61 / $3,320.61 / $3,320.61	Professional		$3,320.61	$3,320.61	$3,320.61
United Facility/Professional Facility Modifier Low / Median / High Price $729.80 / $729.80 / $729.80	Facility		$729.80	$729.80	$729.80
United Facility/Professional Professional Modifier Low / Median / High Price $273.68 / $364.90 / $1,666.69	Professional		$273.68	$364.90	$1,666.69