Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.60 / $312.60 / $312.60	Facility		$312.60	$312.60	$312.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.59 / $244.87 / $312.60	Professional		$200.59	$244.87	$312.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $442.18 / $1,302.50	Professional		$57.05	$442.18	$1,302.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $396.21 / $396.21 / $396.21	Facility		$396.21	$396.21	$396.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $717.29 / $838.21 / $1,285.83	Facility		$717.29	$838.21	$1,285.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.41 / $701.47 / $797.13	Professional		$308.41	$701.47	$797.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $200.59 / $312.60 / $911.75	Facility		$200.59	$312.60	$911.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $200.59 / $312.60 / $911.75	Facility		$200.59	$312.60	$911.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $156.30 / $803.34	Professional		$130.25	$156.30	$803.34
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 $200.59 / $312.60 / $911.75	Facility		$200.59	$312.60	$911.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $434.70 / $620.90 / $870.85	Professional		$434.70	$620.90	$870.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $1,237.38 / $1,237.38	Facility		$521.00	$1,237.38	$1,237.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,042.00 / $1,042.00 / $1,297.29	Professional		$1,042.00	$1,042.00	$1,297.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $554.86 / $554.86 / $554.86	Professional		$554.86	$554.86	$554.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,422.33 / $1,422.33 / $1,422.33	Professional		$1,422.33	$1,422.33	$1,422.33
United Facility/Professional Professional Modifier Low / Median / High Price $117.23 / $156.30 / $484.89	Professional		$117.23	$156.30	$484.89