Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.54 / $327.54 / $327.54	Facility		$327.54	$327.54	$327.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $327.54 / $349.80	Professional		$318.00	$327.54	$349.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $572.40	Professional		$318.00	$318.00	$572.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $435.37 / $508.80 / $508.80	Facility		$435.37	$508.80	$508.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $498.64 / $912.20 / $1,292.91	Facility		$498.64	$912.20	$1,292.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.02 / $348.33 / $1,384.39	Professional		$287.02	$348.33	$1,384.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $327.54 / $547.54	Facility		$318.00	$327.54	$547.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $318.00 / $327.54 / $700.73	Facility		$318.00	$327.54	$700.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $1,452.60	Professional		$318.00	$318.00	$1,452.60
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 $318.00 / $327.54 / $547.54	Facility		$318.00	$327.54	$547.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $423.94 / $1,633.22	Professional		$318.00	$423.94	$1,633.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $273.51 / $1,232.50 / $2,027.14	Facility		$273.51	$1,232.50	$2,027.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $1,232.50 / $1,994.29	Professional		$318.00	$1,232.50	$1,994.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $446.47 / $446.47 / $446.47	Professional		$446.47	$446.47	$446.47
United Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $318.00 / $413.40	Professional		$318.00	$318.00	$413.40