Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.62 / $361.62 / $672.01	Facility		$361.62	$361.62	$672.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.04 / $286.27 / $458.05	Professional		$232.04	$286.27	$458.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $647.90 / $783.51 / $828.71	Facility		$647.90	$783.51	$828.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $151.88 / $1,290.75	Professional		$120.54	$151.88	$1,290.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $765.43 / $765.43 / $765.43	Facility		$765.43	$765.43	$765.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $829.03 / $968.79 / $1,486.15	Facility		$829.03	$968.79	$1,486.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.51 / $811.47 / $922.13	Professional		$346.51	$811.47	$922.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $232.04 / $361.62 / $1,054.73	Facility		$232.04	$361.62	$1,054.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $232.04 / $361.62 / $1,054.73	Facility		$232.04	$361.62	$1,054.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.68 / $180.81 / $929.32	Professional		$150.68	$180.81	$929.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $831.73	Professional		$50.00	$85.00	$831.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $232.04 / $361.62 / $1,054.73	Facility		$232.04	$361.62	$1,054.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $541.67 / $718.85 / $1,008.24	Professional		$541.67	$718.85	$1,008.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $602.70 / $1,431.41 / $1,431.41	Facility		$602.70	$1,431.41	$1,431.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $436.96 / $1,506.75 / $1,506.75	Professional		$436.96	$1,506.75	$1,506.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $301.35 / $641.74	Professional		$301.35	$301.35	$641.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $875.72 / $1,645.37	Professional		$301.35	$875.72	$1,645.37
United Facility/Professional Professional Modifier Low / Median / High Price $135.61 / $180.81 / $560.92	Professional		$135.61	$180.81	$560.92