Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.49 / $359.49 / $359.49	Facility		$359.49	$359.49	$359.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $359.49 / $383.92	Professional		$349.02	$359.49	$383.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $572.39	Professional		$349.02	$349.02	$572.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $477.84 / $554.94 / $558.42	Facility		$477.84	$554.94	$558.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.72 / $841.02 / $1,192.01	Facility		$459.72	$841.02	$1,192.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $459.14 / $679.21	Professional		$349.01	$459.14	$679.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $359.49 / $550.02	Facility		$349.02	$359.49	$550.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $356.55 / $367.25 / $661.05	Facility		$356.55	$367.25	$661.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $356.55 / $356.55 / $1,139.54	Professional		$356.55	$356.55	$1,139.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $879.64	Professional		$50.00	$70.00	$879.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $349.02 / $359.49 / $550.02	Facility		$349.02	$359.49	$550.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $800.87	Professional		$349.02	$349.02	$800.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $360.51 / $688.50 / $1,423.99	Facility		$360.51	$688.50	$1,423.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $858.60 / $2,835.00	Professional		$349.01	$858.60	$2,835.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $490.02 / $490.02 / $490.02	Professional		$490.02	$490.02	$490.02
United Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $349.02 / $477.88	Professional		$349.02	$349.02	$477.88