Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.97 / $531.97 / $531.97	Facility		$531.97	$531.97	$531.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.35 / $421.14 / $531.97	Professional		$341.35	$421.14	$531.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $11.33 / $1,808.37	Professional		$11.33	$11.33	$1,808.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $674.80 / $674.80 / $674.80	Facility		$674.80	$674.80	$674.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,220.11 / $1,425.80 / $2,187.21	Facility		$1,220.11	$1,425.80	$2,187.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.51 / $1,193.74 / $1,356.53	Professional		$524.51	$1,193.74	$1,356.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $341.35 / $531.97 / $1,551.59	Facility		$341.35	$531.97	$1,551.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $341.35 / $531.97 / $1,551.59	Facility		$341.35	$531.97	$1,551.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $221.66 / $265.99 / $1,367.10	Professional		$221.66	$265.99	$1,367.10
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 $341.35 / $531.97 / $1,551.59	Facility		$341.35	$531.97	$1,551.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $740.34 / $1,057.45 / $1,483.15	Professional		$740.34	$1,057.45	$1,483.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $886.62 / $2,105.71 / $2,105.71	Facility		$886.62	$2,105.71	$2,105.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,773.24 / $1,773.24 / $2,207.67	Professional		$1,773.24	$1,773.24	$2,207.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $944.25 / $944.25 / $944.25	Professional		$944.25	$944.25	$944.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,420.46 / $2,420.46 / $2,420.46	Professional		$2,420.46	$2,420.46	$2,420.46
United Facility/Professional Facility Modifier Low / Median / High Price $443.31 / $443.31 / $443.31	Facility		$443.31	$443.31	$443.31
United Facility/Professional Professional Modifier Low / Median / High Price $192.71 / $265.99 / $930.95	Professional		$192.71	$265.99	$930.95