Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.53 / $1,319.45 / $1,319.45	Facility		$378.53	$1,319.45	$1,319.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.74 / $363.11 / $593.40	Professional		$268.74	$363.11	$593.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.26 / $425.23 / $1,115.74	Professional		$275.26	$425.23	$1,115.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $333.50 / $416.88 / $524.99	Facility		$333.50	$416.88	$524.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $328.12 / $409.09 / $524.99	Professional		$328.12	$409.09	$524.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $927.25 / $1,083.57 / $1,662.22	Facility		$927.25	$1,083.57	$1,662.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.67 / $748.66 / $1,186.77	Professional		$336.67	$748.66	$1,186.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $296.27 / $367.79 / $665.83	Facility		$296.27	$367.79	$665.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $296.27 / $369.42 / $722.66	Facility		$296.27	$369.42	$722.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $291.24 / $474.40 / $2,326.30	Professional		$291.24	$474.40	$2,326.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $197.73 / $321.03 / $678.49	Professional		$197.73	$321.03	$678.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $294.81 / $367.44 / $707.44	Facility		$294.81	$367.44	$707.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $534.59 / $809.10 / $1,166.00	Professional		$534.59	$809.10	$1,166.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $401.69 / $714.02 / $1,604.63	Facility		$401.69	$714.02	$1,604.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $373.37 / $1,510.38 / $2,326.30	Professional		$373.37	$1,510.38	$2,326.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $430.36 / $547.47 / $1,236.11	Professional		$430.36	$547.47	$1,236.11
United Facility/Professional Professional Modifier Low / Median / High Price $290.10 / $441.82 / $916.75	Professional		$290.10	$441.82	$916.75