Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.54 / $942.54 / $942.54	Facility		$942.54	$942.54	$942.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $942.54 / $1,006.60	Professional		$915.09	$942.54	$1,006.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $1,464.14	Professional		$915.09	$915.09	$1,464.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,252.84 / $1,464.14 / $1,464.14	Facility		$1,252.84	$1,464.14	$1,464.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.97 / $1,375.65 / $1,949.77	Facility		$751.97	$1,375.65	$1,949.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.26 / $915.09 / $915.09	Professional		$504.26	$915.09	$915.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $652.66 / $942.54 / $1,442.09	Facility		$652.66	$942.54	$1,442.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $652.66 / $672.24 / $1,210.03	Facility		$652.66	$672.24	$1,210.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $652.66 / $652.66 / $1,667.22	Professional		$652.66	$652.66	$1,667.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $652.66 / $942.54 / $1,442.09	Facility		$652.66	$942.54	$1,442.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $648.14 / $915.09 / $1,508.00	Professional		$648.14	$915.09	$1,508.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $494.94 / $1,417.80 / $2,153.31	Facility		$494.94	$1,417.80	$2,153.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $855.00 / $1,417.80 / $3,610.00	Professional		$855.00	$1,417.80	$3,610.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,284.79 / $1,284.79 / $1,284.79	Professional		$1,284.79	$1,284.79	$1,284.79
United Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $915.09 / $1,189.61	Professional		$915.09	$915.09	$1,189.61