Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.17 / $336.17 / $336.17	Professional		$336.17	$336.17	$336.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $4.25 / $1,258.85	Professional		$4.25	$4.25	$1,258.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $357.63 / $357.63 / $544.37	Facility		$357.63	$357.63	$544.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $984.02 / $1,149.91 / $1,763.99	Facility		$984.02	$1,149.91	$1,763.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.94 / $963.03 / $1,094.34	Professional		$410.94	$963.03	$1,094.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $210.97 / $321.87 / $457.77	Facility		$210.97	$321.87	$457.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $210.97 / $357.63 / $1,698.74	Facility		$210.97	$357.63	$1,698.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $207.43 / $357.63 / $751.02	Professional		$207.43	$357.63	$751.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $987.06	Professional		$55.00	$85.00	$987.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $210.97 / $321.87 / $457.77	Facility		$210.97	$321.87	$457.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $420.28 / $853.06 / $1,216.59	Professional		$420.28	$853.06	$1,216.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $715.26 / $715.26 / $1,698.74	Facility		$715.26	$715.26	$1,698.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $761.59 / $761.59 / $761.59	Professional		$761.59	$761.59	$761.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,877.56 / $1,952.66 / $1,952.66	Professional		$1,877.56	$1,952.66	$1,952.66
United Facility/Professional Professional Modifier Low / Median / High Price $178.82 / $286.10 / $751.02	Professional		$178.82	$286.10	$751.02