Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.87 / $305.87 / $305.87	Facility		$305.87	$305.87	$305.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.79 / $305.87 / $413.87	Professional		$150.79	$305.87	$413.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.65 / $339.61 / $416.29	Professional		$328.65	$339.61	$416.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $781.46 / $781.46 / $781.46	Facility		$781.46	$781.46	$781.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $981.32 / $1,146.75 / $1,303.11	Facility		$981.32	$1,146.75	$1,303.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.28 / $529.22 / $691.11	Professional		$175.28	$529.22	$691.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $300.92 / $310.39 / $397.54	Facility		$300.92	$310.39	$397.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $266.70 / $347.58 / $407.82	Facility		$266.70	$347.58	$407.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.82 / $182.18 / $340.28	Professional		$151.82	$182.18	$340.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $65.00 / $361.00	Professional		$58.40	$65.00	$361.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $268.39 / $305.87 / $383.43	Facility		$268.39	$305.87	$383.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $365.17 / $561.99 / $1,060.47	Professional		$365.17	$561.99	$1,060.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $741.30 / $741.30 / $1,957.92	Facility		$741.30	$741.30	$1,957.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $175.28 / $1,604.75 / $2,424.76	Professional		$175.28	$1,604.75	$2,424.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $365.17 / $365.17 / $365.17	Professional		$365.17	$365.17	$365.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $365.17 / $365.17 / $365.17	Professional		$365.17	$365.17	$365.17
United Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $182.18 / $338.21	Professional		$142.63	$182.18	$338.21