Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.36 / $1,428.98 / $2,815.81	Facility		$302.36	$1,428.98	$2,815.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.25 / $358.69 / $802.20	Professional		$227.25	$358.69	$802.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.97 / $576.87 / $1,190.35	Professional		$291.97	$576.87	$1,190.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $359.68 / $380.43 / $532.60	Facility		$359.68	$380.43	$532.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,452.61 / $1,650.69 / $2,603.98	Facility		$1,452.61	$1,650.69	$2,603.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.97 / $899.91 / $1,022.63	Professional		$629.97	$899.91	$1,022.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $302.36 / $308.63 / $633.20	Facility		$302.36	$308.63	$633.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.36 / $356.30 / $756.00	Facility		$302.36	$356.30	$756.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $359.05 / $359.05 / $626.39	Professional		$359.05	$359.05	$626.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $544.50	Professional		$55.00	$85.00	$544.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $302.36 / $308.63 / $633.20	Facility		$302.36	$308.63	$633.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $464.37 / $1,018.34 / $1,420.10	Professional		$464.37	$1,018.34	$1,420.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,285.06 / $2,285.06 / $2,285.06	Facility		$2,285.06	$2,285.06	$2,285.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $652.20 / $1,850.67 / $2,216.92	Professional		$652.20	$1,850.67	$2,216.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $399.85 / $399.85 / $399.85	Professional		$399.85	$399.85	$399.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $476.27 / $2,123.77 / $2,123.77	Professional		$476.27	$2,123.77	$2,123.77
United Facility/Professional Professional Modifier Low / Median / High Price $359.05 / $359.05 / $466.77	Professional		$359.05	$359.05	$466.77