Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.82 / $697.73 / $697.73	Professional		$593.82	$697.73	$697.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.20 / $1,259.96 / $3,711.35	Professional		$699.20	$1,259.96	$3,711.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,129.58 / $1,129.58 / $1,129.58	Facility		$1,129.58	$1,129.58	$1,129.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,042.84 / $2,387.21 / $3,662.06	Facility		$2,042.84	$2,387.21	$3,662.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $878.86 / $1,998.79 / $2,271.35	Professional		$878.86	$1,998.79	$2,271.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $571.54 / $890.72 / $2,597.94	Facility		$571.54	$890.72	$2,597.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $571.54 / $890.72 / $2,597.94	Facility		$571.54	$890.72	$2,597.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.14 / $445.36 / $2,289.05	Professional		$371.14	$445.36	$2,289.05
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 $571.54 / $890.72 / $2,597.94	Facility		$571.54	$890.72	$2,597.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,239.30 / $1,770.13 / $2,482.73	Professional		$1,239.30	$1,770.13	$2,482.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,484.54 / $3,525.78 / $3,525.78	Facility		$1,484.54	$3,525.78	$3,525.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,969.08 / $2,969.08 / $3,696.50	Professional		$2,969.08	$2,969.08	$3,696.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,581.04 / $1,581.04 / $1,581.04	Professional		$1,581.04	$1,581.04	$1,581.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,052.79 / $4,052.79 / $4,052.79	Professional		$4,052.79	$4,052.79	$4,052.79
United Facility/Professional Professional Modifier Low / Median / High Price $334.02 / $445.36 / $1,558.77	Professional		$334.02	$445.36	$1,558.77