Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.51 / $1,095.53 / $1,095.53	Facility		$314.51	$1,095.53	$1,095.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.93 / $295.32 / $530.16	Professional		$222.93	$295.32	$530.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.23 / $353.26 / $936.75	Professional		$231.23	$353.26	$936.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $276.55 / $345.69 / $435.20	Facility		$276.55	$345.69	$435.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $339.46 / $435.20	Professional		$272.00	$339.46	$435.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $770.46 / $900.34 / $1,381.15	Facility		$770.46	$900.34	$1,381.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.74 / $621.25 / $984.79	Professional		$282.74	$621.25	$984.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $248.18 / $304.77 / $561.34	Facility		$248.18	$304.77	$561.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $248.92 / $306.52 / $587.38	Facility		$248.92	$306.52	$587.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.49 / $386.38 / $1,893.50	Professional		$244.49	$386.38	$1,893.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.52 / $288.69 / $611.15	Professional		$177.52	$288.69	$611.15
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $248.18 / $302.98 / $582.04	Facility		$248.18	$302.98	$582.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $431.24 / $671.70 / $968.00	Professional		$431.24	$671.70	$968.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $333.08 / $592.84 / $1,332.16	Facility		$333.08	$592.84	$1,332.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.87 / $1,253.70 / $1,893.50	Professional		$309.87	$1,253.70	$1,893.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $356.75 / $459.66 / $1,026.04	Professional		$356.75	$459.66	$1,026.04
United Facility/Professional Professional Modifier Low / Median / High Price $240.23 / $368.64 / $819.60	Professional		$240.23	$368.64	$819.60