Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.46 / $503.07 / $747.90	Facility		$402.46	$503.07	$747.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.24 / $318.61 / $694.43	Professional		$258.24	$318.61	$694.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $721.07 / $871.99 / $922.30	Facility		$721.07	$871.99	$922.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.62 / $335.38 / $1,442.13	Professional		$165.62	$335.38	$1,442.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $910.72 / $910.72 / $946.53	Facility		$910.72	$910.72	$946.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $922.75 / $1,078.30 / $1,654.14	Facility		$922.75	$1,078.30	$1,654.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.33 / $903.11 / $1,026.26	Professional		$385.33	$903.11	$1,026.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $258.24 / $402.46 / $1,173.83	Facility		$258.24	$402.46	$1,173.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $301.83 / $402.46 / $1,173.83	Facility		$301.83	$402.46	$1,173.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.52 / $274.52 / $1,207.36	Professional		$194.52	$274.52	$1,207.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $335.38	Professional		$50.00	$70.00	$335.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $258.24 / $402.46 / $1,173.83	Facility		$258.24	$402.46	$1,173.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $674.05 / $873.42 / $1,140.70	Professional		$674.05	$873.42	$1,140.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $895.54 / $1,593.06 / $1,593.06	Facility		$895.54	$1,593.06	$1,593.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $486.30 / $1,676.90 / $1,676.90	Professional		$486.30	$1,676.90	$1,676.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $345.05 / $345.05 / $714.21	Professional		$345.05	$345.05	$714.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $345.05 / $345.05 / $1,831.17	Professional		$345.05	$345.05	$1,831.17
United Facility/Professional Professional Modifier Low / Median / High Price $192.17 / $268.30 / $810.70	Professional		$192.17	$268.30	$810.70