Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $250.39 / $354.11	Facility		$200.00	$250.39	$354.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $261.57 / $1,223.59	Professional		$149.69	$261.57	$1,223.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.54 / $327.92 / $1,020.98	Professional		$161.54	$327.92	$1,020.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $160.27 / $168.28 / $224.38	Facility		$160.27	$168.28	$224.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $222.00 / $222.00 / $222.00	Professional		$222.00	$222.00	$222.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $439.75 / $513.88 / $788.30	Facility		$439.75	$513.88	$788.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.96 / $744.34 / $845.84	Professional		$216.96	$744.34	$845.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $157.38 / $248.63 / $422.50	Facility		$157.38	$248.63	$422.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $157.38 / $248.63 / $422.50	Facility		$157.38	$248.63	$422.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $189.32 / $403.31 / $2,519.00	Professional		$189.32	$403.31	$2,519.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.52 / $163.89 / $333.79	Professional		$97.52	$163.89	$333.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $157.38 / $248.63 / $422.50	Facility		$157.38	$248.63	$422.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.50 / $496.64 / $790.65	Professional		$331.50	$496.64	$790.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $772.06 / $772.06 / $772.06	Facility		$772.06	$772.06	$772.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $278.41 / $830.00 / $2,519.00	Professional		$278.41	$830.00	$2,519.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $556.28 / $1,022.13 / $1,022.13	Professional		$556.28	$1,022.13	$1,022.13
United Facility/Professional Professional Modifier Low / Median / High Price $182.44 / $394.80 / $735.48	Professional		$182.44	$394.80	$735.48