Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.54 / $570.54 / $570.54	Facility		$570.54	$570.54	$570.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $570.54 / $609.33	Professional		$553.94	$570.54	$609.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $553.94 / $941.69	Professional		$553.94	$553.94	$941.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $758.40 / $886.30 / $886.30	Facility		$758.40	$886.30	$886.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $731.83 / $1,338.79 / $1,897.54	Facility		$731.83	$1,338.79	$1,897.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.18 / $553.94 / $1,114.55	Professional		$260.18	$553.94	$1,114.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $194.83 / $570.54 / $872.94	Facility		$194.83	$570.54	$872.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.83 / $200.67 / $429.12	Facility		$194.83	$200.67	$429.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.83 / $194.83 / $1,717.58	Professional		$194.83	$194.83	$1,717.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $85.00	Professional		$50.00	$60.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $194.83 / $570.54 / $872.94	Facility		$194.83	$570.54	$872.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $339.11 / $553.94 / $1,314.92	Professional		$339.11	$553.94	$1,314.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $247.92 / $1,062.50 / $2,500.00	Facility		$247.92	$1,062.50	$2,500.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $553.94 / $1,125.00 / $4,750.00	Professional		$553.94	$1,125.00	$4,750.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $777.73 / $777.73 / $777.73	Professional		$777.73	$777.73	$777.73
United Facility/Professional Professional Modifier Low / Median / High Price $498.55 / $553.94 / $720.12	Professional		$498.55	$553.94	$720.12