Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,867.91 / $2,867.91 / $2,867.91	Facility		$2,867.91	$2,867.91	$2,867.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,867.91 / $3,062.82	Professional		$2,784.38	$2,867.91	$3,062.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $4,176.57	Professional		$2,784.38	$2,784.38	$4,176.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,812.08 / $4,427.16 / $4,455.01	Facility		$3,812.08	$4,427.16	$4,455.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.01 / $236.00 / $405.95	Facility		$129.01	$236.00	$405.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.22 / $167.11 / $2,784.38	Professional		$97.22	$167.11	$2,784.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $2,867.91 / $4,387.89	Facility		$530.00	$2,867.91	$4,387.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $545.90 / $818.85	Facility		$530.00	$545.90	$818.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $430.31 / $530.00 / $689.00	Professional		$430.31	$530.00	$689.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $2,867.91 / $4,387.89	Facility		$530.00	$2,867.91	$4,387.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $124.64 / $2,784.38 / $2,951.44	Professional		$124.64	$2,784.38	$2,951.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $92.65 / $240.00 / $414.69	Facility		$92.65	$240.00	$414.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $430.31 / $2,784.38	Professional		$132.91	$430.31	$2,784.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,909.27 / $3,909.27 / $3,909.27	Professional		$3,909.27	$3,909.27	$3,909.27
United Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $3,619.69	Professional		$2,784.38	$2,784.38	$3,619.69