Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $284.08 / $402.91	Facility		$200.00	$284.08	$402.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.93 / $284.08 / $1,157.09	Professional		$172.93	$284.08	$1,157.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.28 / $369.32 / $1,154.99	Professional		$183.28	$369.32	$1,154.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $191.07 / $254.76	Facility		$181.97	$191.07	$254.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $251.74 / $251.74 / $251.74	Professional		$251.74	$251.74	$251.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.92 / $586.54 / $899.76	Facility		$501.92	$586.54	$899.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.32 / $846.80 / $962.28	Professional		$244.32	$846.80	$962.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $180.69 / $281.50 / $607.75	Facility		$180.69	$281.50	$607.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $180.69 / $281.50 / $607.75	Facility		$180.69	$281.50	$607.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $212.77 / $460.80 / $1,821.00	Professional		$212.77	$460.80	$1,821.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.52 / $165.51 / $333.79	Professional		$97.52	$165.51	$333.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $180.69 / $281.50 / $607.75	Facility		$180.69	$281.50	$607.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $377.65 / $459.21 / $805.41	Professional		$377.65	$459.21	$805.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $879.51 / $879.51 / $879.51	Facility		$879.51	$879.51	$879.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $316.73 / $934.30 / $1,821.00	Professional		$316.73	$934.30	$1,821.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $622.71 / $1,162.75 / $1,162.75	Professional		$622.71	$1,162.75	$1,162.75
United Facility/Professional Professional Modifier Low / Median / High Price $211.48 / $444.41 / $881.42	Professional		$211.48	$444.41	$881.42