Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.14 / $1,095.53 / $1,095.53	Facility		$314.14	$1,095.53	$1,095.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.93 / $298.44 / $555.87	Professional		$222.93	$298.44	$555.87
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $111.47 / $145.29 / $188.74	Professional	52	$111.47	$145.29	$188.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.33 / $353.14 / $935.38	Professional		$227.33	$353.14	$935.38
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 $282.35 / $621.25 / $984.79	Professional		$282.35	$621.25	$984.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $247.84 / $304.77 / $560.57	Facility		$247.84	$304.77	$560.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $248.55 / $306.52 / $600.55	Facility		$248.55	$306.52	$600.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.13 / $385.80 / $1,893.50	Professional		$244.13	$385.80	$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 $247.84 / $302.64 / $587.38	Facility		$247.84	$302.64	$587.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $426.44 / $671.70 / $968.00	Professional		$426.44	$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 $326.24 / $458.66 / $1,026.04	Professional		$326.24	$458.66	$1,026.04
United Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $375.34 / $966.46	Professional		$95.00	$375.34	$966.46