Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.42 / $902.08 / $936.00	Facility		$485.42	$902.08	$936.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.48 / $384.29 / $606.78	Professional		$311.48	$384.29	$606.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.72 / $1,051.75 / $1,112.43	Facility		$869.72	$1,051.75	$1,112.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.81 / $327.54 / $1,732.64	Professional		$161.81	$327.54	$1,732.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $988.61 / $988.61 / $1,027.48	Facility		$988.61	$988.61	$1,027.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,112.88 / $1,300.49 / $1,994.99	Facility		$1,112.88	$1,300.49	$1,994.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $465.04 / $1,089.29 / $1,237.83	Professional		$465.04	$1,089.29	$1,237.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $311.48 / $485.42 / $1,415.82	Facility		$311.48	$485.42	$1,415.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $364.07 / $485.42 / $1,415.82	Facility		$364.07	$485.42	$1,415.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.84 / $242.71 / $1,247.48	Professional		$175.84	$242.71	$1,247.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $262.69	Professional		$50.00	$70.00	$262.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $311.48 / $485.42 / $1,415.82	Facility		$311.48	$485.42	$1,415.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $627.00 / $986.79 / $1,353.33	Professional		$627.00	$986.79	$1,353.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $809.04 / $1,921.47 / $1,921.47	Facility		$809.04	$1,921.47	$1,921.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $586.54 / $2,022.60 / $2,022.60	Professional		$586.54	$2,022.60	$2,022.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $247.63 / $247.63 / $861.44	Professional		$247.63	$247.63	$861.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $247.63 / $247.63 / $2,208.67	Professional		$247.63	$247.63	$2,208.67
United Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $242.71 / $728.14	Professional		$169.90	$242.71	$728.14