Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.87 / $596.75 / $596.75	Professional		$507.87	$596.75	$596.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.13 / $257.13 / $2,539.36	Professional		$257.13	$257.13	$2,539.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $966.18 / $966.18 / $966.18	Facility		$966.18	$966.18	$966.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,747.27 / $2,041.83 / $3,132.21	Facility		$1,747.27	$2,041.83	$3,132.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $751.66 / $1,709.50 / $1,942.61	Professional		$751.66	$1,709.50	$1,942.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $488.83 / $761.81 / $2,221.94	Facility		$488.83	$761.81	$2,221.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $488.83 / $761.81 / $2,221.94	Facility		$488.83	$761.81	$2,221.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $317.42 / $380.90 / $1,957.75	Professional		$317.42	$380.90	$1,957.75
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 $488.83 / $761.81 / $2,221.94	Facility		$488.83	$761.81	$2,221.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,060.02 / $1,514.06 / $2,123.57	Professional		$1,060.02	$1,514.06	$2,123.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,269.68 / $3,015.49 / $3,015.49	Facility		$1,269.68	$3,015.49	$3,015.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,539.36 / $2,539.36 / $3,161.50	Professional		$2,539.36	$2,539.36	$3,161.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,352.21 / $1,352.21 / $1,352.21	Professional		$1,352.21	$1,352.21	$1,352.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,466.23 / $3,466.23 / $3,466.23	Professional		$3,466.23	$3,466.23	$3,466.23
United Facility/Professional Professional Modifier Low / Median / High Price $275.95 / $380.90 / $1,181.69	Professional		$275.95	$380.90	$1,181.69