Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.60 / $950.60 / $950.60	Facility		$950.60	$950.60	$950.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.58 / $744.64 / $950.60	Professional		$649.58	$744.64	$950.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $483.22 / $1,305.49 / $3,667.75	Professional		$483.22	$1,305.49	$3,667.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $792.17 / $792.17 / $1,205.38	Facility		$792.17	$792.17	$1,205.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,179.81 / $2,547.28 / $3,907.59	Facility		$2,179.81	$2,547.28	$3,907.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.25 / $2,133.15 / $2,424.04	Professional		$910.25	$2,133.15	$2,424.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $475.30 / $792.17 / $1,449.67	Facility		$475.30	$792.17	$1,449.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $475.30 / $792.17 / $3,762.81	Facility		$475.30	$792.17	$3,762.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $459.46 / $792.17 / $1,663.56	Professional		$459.46	$792.17	$1,663.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $396.09	Professional		$50.00	$85.00	$396.09
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $475.30 / $792.17 / $1,449.67	Facility		$475.30	$792.17	$1,449.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $930.62 / $1,888.91 / $2,693.90	Professional		$930.62	$1,888.91	$2,693.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,584.34 / $1,584.34 / $3,762.81	Facility		$1,584.34	$1,584.34	$3,762.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,687.32 / $1,687.32 / $1,687.32	Professional		$1,687.32	$1,687.32	$1,687.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,325.25 / $4,325.25 / $4,325.25	Professional		$4,325.25	$4,325.25	$4,325.25
United Facility/Professional Facility Modifier Low / Median / High Price $792.17 / $792.17 / $792.17	Facility		$792.17	$792.17	$792.17
United Facility/Professional Professional Modifier Low / Median / High Price $427.77 / $633.74 / $1,474.55	Professional		$427.77	$633.74	$1,474.55