Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.14 / $500.14 / $500.14	Facility		$500.14	$500.14	$500.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.92 / $391.77 / $500.14	Professional		$320.92	$391.77	$500.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $707.47 / $1,973.72	Professional		$17.32	$707.47	$1,973.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $633.95 / $633.95 / $633.95	Facility		$633.95	$633.95	$633.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,147.13 / $1,340.51 / $2,056.37	Facility		$1,147.13	$1,340.51	$2,056.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.03 / $1,122.31 / $1,275.34	Professional		$493.03	$1,122.31	$1,275.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $320.92 / $500.14 / $1,458.73	Facility		$320.92	$500.14	$1,458.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $320.92 / $500.14 / $1,458.73	Facility		$320.92	$500.14	$1,458.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.39 / $250.07 / $1,285.29	Professional		$208.39	$250.07	$1,285.29
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 $320.92 / $500.14 / $1,458.73	Facility		$320.92	$500.14	$1,458.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $695.52 / $993.43 / $1,393.36	Professional		$695.52	$993.43	$1,393.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $833.56 / $1,979.71 / $1,979.71	Facility		$833.56	$1,979.71	$1,979.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,667.12 / $1,667.12 / $2,075.56	Professional		$1,667.12	$1,667.12	$2,075.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $887.74 / $887.74 / $887.74	Professional		$887.74	$887.74	$887.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,275.62 / $2,275.62 / $2,275.62	Professional		$2,275.62	$2,275.62	$2,275.62
United Facility/Professional Professional Modifier Low / Median / High Price $208.39 / $250.07 / $750.20	Professional		$208.39	$250.07	$750.20