Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.10 / $795.10 / $795.10	Facility		$795.10	$795.10	$795.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.32 / $622.83 / $795.10	Professional		$543.32	$622.83	$795.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $2,650.32	Professional		$12.34	$12.34	$2,650.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $662.58 / $662.58 / $1,008.01	Facility		$662.58	$662.58	$1,008.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,823.87 / $2,131.33 / $3,269.52	Facility		$1,823.87	$2,131.33	$3,269.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.16 / $1,784.20 / $2,027.50	Professional		$761.16	$1,784.20	$2,027.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $397.55 / $662.58 / $1,212.52	Facility		$397.55	$662.58	$1,212.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $397.55 / $795.10 / $3,147.26	Facility		$397.55	$795.10	$3,147.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $384.30 / $662.58 / $1,391.42	Professional		$384.30	$662.58	$1,391.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $331.29	Professional		$85.00	$85.00	$331.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $397.55 / $662.58 / $1,212.52	Facility		$397.55	$662.58	$1,212.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $778.24 / $1,579.62 / $2,252.80	Professional		$778.24	$1,579.62	$2,252.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,325.16 / $1,325.16 / $3,147.26	Facility		$1,325.16	$1,325.16	$3,147.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,411.30 / $1,411.30 / $1,411.30	Professional		$1,411.30	$1,411.30	$1,411.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,617.69 / $3,617.69 / $3,617.69	Professional		$3,617.69	$3,617.69	$3,617.69
United Facility/Professional Facility Modifier Low / Median / High Price $662.58 / $662.58 / $662.58	Facility		$662.58	$662.58	$662.58
United Facility/Professional Professional Modifier Low / Median / High Price $331.29 / $530.05 / $1,391.42	Professional		$331.29	$530.05	$1,391.42