Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.42 / $441.78 / $656.78	Facility		$353.42	$441.78	$656.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.78 / $279.79 / $609.80	Professional		$226.78	$279.79	$609.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $633.22 / $765.75 / $809.93	Facility		$633.22	$765.75	$809.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $294.52 / $1,266.44	Professional		$145.44	$294.52	$1,266.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $799.75 / $799.75 / $831.19	Facility		$799.75	$799.75	$831.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $810.11 / $946.67 / $1,452.22	Facility		$810.11	$946.67	$1,452.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.66 / $793.08 / $901.23	Professional		$338.66	$793.08	$901.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $226.78 / $353.42 / $1,030.82	Facility		$226.78	$353.42	$1,030.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $265.07 / $353.42 / $1,030.82	Facility		$265.07	$353.42	$1,030.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $170.82 / $241.07 / $1,060.27	Professional		$170.82	$241.07	$1,060.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $294.52	Professional		$50.00	$70.00	$294.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $226.78 / $353.42 / $1,030.82	Facility		$226.78	$353.42	$1,030.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $592.15 / $767.32 / $1,002.10	Professional		$592.15	$767.32	$1,002.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $636.99 / $1,398.97 / $1,398.97	Facility		$636.99	$1,398.97	$1,398.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $427.05 / $1,472.60 / $1,472.60	Professional		$427.05	$1,472.60	$1,472.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $303.00 / $303.00 / $627.19	Professional		$303.00	$303.00	$627.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $303.00 / $303.00 / $1,608.08	Professional		$303.00	$303.00	$1,608.08
United Facility/Professional Professional Modifier Low / Median / High Price $168.75 / $235.62 / $807.13	Professional		$168.75	$235.62	$807.13