Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.68 / $770.62 / $1,742.65	Facility		$414.68	$770.62	$1,742.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.08 / $328.29 / $518.36	Professional		$266.08	$328.29	$518.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $742.98 / $898.48 / $950.32	Facility		$742.98	$898.48	$950.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.65 / $345.57 / $1,485.95	Professional		$170.65	$345.57	$1,485.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $938.37 / $938.37 / $975.26	Facility		$938.37	$938.37	$975.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.68 / $1,110.95 / $1,704.22	Facility		$950.68	$1,110.95	$1,704.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.89 / $930.56 / $1,057.45	Professional		$396.89	$930.56	$1,057.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $266.08 / $414.68 / $1,209.50	Facility		$266.08	$414.68	$1,209.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $311.01 / $414.68 / $1,209.50	Facility		$311.01	$414.68	$1,209.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $200.43 / $282.86 / $1,244.05	Professional		$200.43	$282.86	$1,244.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $953.77	Professional		$50.00	$70.00	$953.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $266.08 / $414.68 / $1,209.50	Facility		$266.08	$414.68	$1,209.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $694.20 / $900.12 / $1,174.80	Professional		$694.20	$900.12	$1,174.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $922.73 / $1,641.46 / $1,641.46	Facility		$922.73	$1,641.46	$1,641.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $501.08 / $1,727.85 / $1,727.85	Professional		$501.08	$1,727.85	$1,727.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $355.52 / $355.52 / $735.91	Professional		$355.52	$355.52	$735.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $355.52 / $1,004.23 / $1,886.81	Professional		$355.52	$1,004.23	$1,886.81
United Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $276.45 / $835.33	Professional		$198.00	$276.45	$835.33