Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,008.78 / $1,008.78 / $1,008.78	Facility		$1,008.78	$1,008.78	$1,008.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $689.33 / $790.21 / $1,008.78	Professional		$689.33	$790.21	$1,008.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $336.26 / $3,362.60	Professional		$336.26	$336.26	$3,362.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $759.11 / $882.68 / $1,966.22	Facility		$759.11	$882.68	$1,966.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $840.65 / $840.65 / $840.65	Professional		$840.65	$840.65	$840.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,313.17 / $2,703.13 / $4,146.67	Facility		$2,313.17	$2,703.13	$4,146.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.01 / $2,263.69 / $2,572.39	Professional		$966.01	$2,263.69	$2,572.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $504.39 / $689.33 / $1,008.78	Facility		$504.39	$689.33	$1,008.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $504.39 / $756.59 / $3,993.09	Facility		$504.39	$756.59	$3,993.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $487.58 / $840.65 / $1,765.37	Professional		$487.58	$840.65	$1,765.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $85.00	Professional		$50.00	$85.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $504.39 / $689.33 / $1,008.78	Facility		$504.39	$689.33	$1,008.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $987.62 / $2,004.61 / $2,858.90	Professional		$987.62	$2,004.61	$2,858.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,681.30 / $1,681.30 / $3,993.09	Facility		$1,681.30	$1,681.30	$3,993.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,790.58 / $1,790.58 / $1,790.58	Professional		$1,790.58	$1,790.58	$1,790.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,589.95 / $4,589.95 / $4,589.95	Professional		$4,589.95	$4,589.95	$4,589.95
United Facility/Professional Professional Modifier Low / Median / High Price $453.95 / $504.39 / $1,564.79	Professional		$453.95	$504.39	$1,564.79