Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.86 / $571.86 / $571.86	Facility		$571.86	$571.86	$571.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $571.86 / $610.72	Professional		$555.20	$571.86	$610.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $555.20 / $832.80	Professional		$555.20	$555.20	$832.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $760.12 / $888.32 / $888.32	Facility		$760.12	$888.32	$888.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,482.47 / $2,712.01 / $3,843.86	Facility		$1,482.47	$2,712.01	$3,843.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $1,410.75 / $1,912.41	Professional		$555.20	$1,410.75	$1,912.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $555.20 / $582.96 / $2,824.50	Facility		$555.20	$582.96	$2,824.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,824.50 / $2,909.23 / $4,334.75	Facility		$2,824.50	$2,909.23	$4,334.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,824.50 / $2,824.50 / $5,931.45	Professional		$2,824.50	$2,824.50	$5,931.45
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 $555.20 / $582.96 / $2,824.50	Facility		$555.20	$582.96	$2,824.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $297.95 / $555.21 / $864.24	Professional		$297.95	$555.21	$864.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,797.11 / $3,720.68 / $4,042.50	Facility		$2,797.11	$3,720.68	$4,042.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $2,929.05 / $9,432.50	Professional		$555.20	$2,929.05	$9,432.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $779.50 / $779.50 / $779.50	Professional		$779.50	$779.50	$779.50
United Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $555.20 / $760.18	Professional		$555.20	$555.20	$760.18