Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.20 / $294.44 / $400.00	Facility		$283.20	$294.44	$400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.28 / $320.00 / $752.00	Professional		$230.28	$320.00	$752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.72 / $283.72 / $458.06	Professional		$283.72	$283.72	$458.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $536.98 / $536.98 / $536.98	Facility		$536.98	$536.98	$536.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.87 / $643.32 / $919.58	Facility		$323.87	$643.32	$919.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.14 / $242.20 / $337.50	Professional		$213.14	$242.20	$337.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $194.05 / $308.32 / $591.66	Facility		$194.05	$308.32	$591.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.05 / $333.19 / $633.08	Facility		$194.05	$333.19	$633.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $278.16 / $314.32 / $445.06	Professional		$278.16	$314.32	$445.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $747.31	Professional		$85.00	$85.00	$747.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $194.05 / $308.32 / $591.66	Facility		$194.05	$308.32	$591.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $291.11 / $640.17 / $913.00	Professional		$291.11	$640.17	$913.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,213.43 / $1,213.43 / $1,213.43	Facility		$1,213.43	$1,213.43	$1,213.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $323.87 / $323.87 / $323.87	Professional		$323.87	$323.87	$323.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $203.44 / $203.44 / $203.44	Professional		$203.44	$203.44	$203.44
United Facility/Professional Professional Modifier Low / Median / High Price $289.17 / $326.76 / $498.86	Professional		$289.17	$326.76	$498.86