Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.48 / $547.48 / $547.48	Facility		$547.48	$547.48	$547.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.66 / $528.82 / $558.65	Professional		$242.66	$528.82	$558.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.27 / $607.89 / $745.14	Professional		$588.27	$607.89	$745.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,398.79 / $1,398.79 / $1,398.79	Facility		$1,398.79	$1,398.79	$1,398.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,756.28 / $2,052.36 / $2,332.21	Facility		$1,756.28	$2,052.36	$2,332.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.08 / $947.34 / $1,237.06	Professional		$282.08	$947.34	$1,237.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $520.91 / $547.48 / $653.64	Facility		$520.91	$547.48	$653.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $477.38 / $574.85 / $1,000.00	Facility		$477.38	$574.85	$1,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.32 / $326.08 / $609.08	Professional		$244.32	$326.08	$609.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $477.38 / $547.48 / $653.64	Facility		$477.38	$547.48	$653.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $648.61 / $980.46 / $1,707.07	Professional		$648.61	$980.46	$1,707.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,326.89 / $1,326.89 / $3,066.90	Facility		$1,326.89	$1,326.89	$3,066.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $282.08 / $2,872.44 / $3,280.53	Professional		$282.08	$2,872.44	$3,280.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $653.64 / $653.64 / $653.64	Professional		$653.64	$653.64	$653.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $653.64 / $653.64 / $1,000,000.00	Professional		$653.64	$653.64	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.56 / $324.18 / $519.26	Professional		$229.56	$324.18	$519.26