Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.50 / $221.47 / $766.79	Facility		$217.50	$221.47	$766.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.73 / $221.47 / $323.38	Professional		$190.73	$221.47	$323.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.94 / $292.64 / $883.18	Professional		$185.94	$292.64	$883.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $189.42 / $240.06 / $317.39	Facility		$189.42	$240.06	$317.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $209.44 / $228.48 / $270.14	Professional		$209.44	$228.48	$270.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $545.17 / $637.08 / $977.30	Facility		$545.17	$637.08	$977.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.23 / $498.30 / $735.82	Professional		$242.23	$498.30	$735.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $191.43 / $225.74 / $391.50	Facility		$191.43	$225.74	$391.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $189.38 / $225.74 / $391.50	Facility		$189.38	$225.74	$391.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $261.52 / $629.23 / $2,520.00	Professional		$261.52	$629.23	$2,520.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $188.32 / $412.59	Professional		$85.00	$188.32	$412.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $191.43 / $225.74 / $404.46	Facility		$191.43	$225.74	$404.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $266.48 / $481.17 / $682.00	Professional		$266.48	$481.17	$682.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $923.41 / $923.41 / $923.41	Facility		$923.41	$923.41	$923.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $314.26 / $1,029.59 / $2,520.00	Professional		$314.26	$1,029.59	$2,520.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $433.28 / $1,039.26 / $1,058.08	Professional		$433.28	$1,039.26	$1,058.08
United Facility/Professional Professional Modifier Low / Median / High Price $191.22 / $514.79 / $949.39	Professional		$191.22	$514.79	$949.39