Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.26 / $315.26 / $315.26	Facility		$315.26	$315.26	$315.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.29 / $249.58 / $315.26	Professional		$202.29	$249.58	$315.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.82 / $205.82 / $1,074.38	Professional		$205.82	$205.82	$1,074.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $399.66 / $399.66 / $399.66	Facility		$399.66	$399.66	$399.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $722.70 / $844.53 / $1,295.53	Facility		$722.70	$844.53	$1,295.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.95 / $707.45 / $803.93	Professional		$310.95	$707.45	$803.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $202.29 / $315.26 / $919.52	Facility		$202.29	$315.26	$919.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $202.29 / $315.26 / $919.52	Facility		$202.29	$315.26	$919.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.36 / $157.63 / $810.19	Professional		$131.36	$157.63	$810.19
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 $202.29 / $315.26 / $919.52	Facility		$202.29	$315.26	$919.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $438.48 / $626.29 / $878.42	Professional		$438.48	$626.29	$878.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $525.44 / $1,247.92 / $1,247.92	Facility		$525.44	$1,247.92	$1,247.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,050.88 / $1,050.88 / $1,308.34	Professional		$1,050.88	$1,050.88	$1,308.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $559.59 / $559.59 / $559.59	Professional		$559.59	$559.59	$559.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,434.45 / $1,434.45 / $1,434.45	Professional		$1,434.45	$1,434.45	$1,434.45
United Facility/Professional Professional Modifier Low / Median / High Price $118.22 / $157.63 / $647.14	Professional		$118.22	$157.63	$647.14