Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.24 / $256.67 / $794.11	Facility		$114.24	$256.67	$794.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.80 / $256.67 / $320.83	Professional		$136.80	$256.67	$320.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.74 / $267.37 / $780.82	Professional		$242.74	$267.37	$780.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.01 / $182.99 / $256.19	Facility		$173.01	$182.99	$256.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.70 / $2,232.32 / $3,521.52	Facility		$272.70	$2,232.32	$3,521.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.34 / $1,217.39 / $1,383.40	Professional		$170.34	$1,217.39	$1,383.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.98 / $256.67 / $320.83	Facility		$54.98	$256.67	$320.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.71 / $306.95 / $750.23	Facility		$37.71	$306.95	$750.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $751.40	Professional		$267.37	$267.37	$751.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $337.92	Professional		$55.00	$85.00	$337.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $54.98 / $256.67 / $320.83	Facility		$54.98	$256.67	$320.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $518.33 / $1,136.66 / $1,585.10	Professional		$518.33	$1,136.66	$1,585.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,203.15 / $1,203.15 / $1,203.15	Facility		$1,203.15	$1,203.15	$1,203.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $340.09 / $1,219.19	Professional		$272.70	$340.09	$1,219.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $892.29 / $892.29 / $892.29	Professional		$892.29	$892.29	$892.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $52.65 / $2,873.02 / $2,873.02	Professional		$52.65	$2,873.02	$2,873.02
United Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $427.79	Professional		$267.37	$267.37	$427.79