Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.21 / $502.21 / $502.21	Facility		$502.21	$502.21	$502.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $502.21 / $536.34	Professional		$487.59	$502.21	$536.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $828.90	Professional		$487.59	$487.59	$828.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $667.55 / $721.63 / $780.14	Facility		$667.55	$721.63	$780.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $967.18 / $1,769.35 / $2,507.78	Facility		$967.18	$1,769.35	$2,507.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.85 / $487.59 / $510.35	Professional		$401.85	$487.59	$510.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $502.21 / $768.38	Facility		$487.59	$502.21	$768.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $502.21 / $833.00	Facility		$487.59	$502.21	$833.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $1,023.94	Professional		$487.59	$487.59	$1,023.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $487.59 / $502.21 / $768.38	Facility		$487.59	$502.21	$768.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $460.75 / $487.59 / $919.98	Professional		$460.75	$487.59	$919.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $493.30 / $833.00 / $1,921.69	Facility		$493.30	$833.00	$1,921.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $988.54 / $2,386.13	Professional		$487.59	$988.54	$2,386.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $684.58 / $684.58 / $684.58	Professional		$684.58	$684.58	$684.58
United Facility/Professional Professional Modifier Low / Median / High Price $487.59 / $487.59 / $633.87	Professional		$487.59	$487.59	$633.87