Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.88 / $706.76 / $985.93	Facility		$332.88	$706.76	$985.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.12 / $381.61 / $1,520.63	Professional		$309.12	$381.61	$1,520.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.96 / $575.79 / $1,169.68	Professional		$383.96	$575.79	$1,169.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $361.36 / $451.70 / $597.35	Facility		$361.36	$451.70	$597.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $361.36 / $423.37 / $745.78	Professional		$361.36	$423.37	$745.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,003.85 / $1,173.08 / $1,799.53	Facility		$1,003.85	$1,173.08	$1,799.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.37 / $915.75 / $1,300.78	Professional		$406.37	$915.75	$1,300.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $300.76 / $398.97 / $798.91	Facility		$300.76	$398.97	$798.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $300.76 / $399.13 / $787.99	Facility		$300.76	$399.13	$787.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $414.29 / $648.33 / $3,516.49	Professional		$414.29	$648.33	$3,516.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.96 / $560.37 / $833.39	Professional		$229.96	$560.37	$833.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $300.33 / $398.97 / $787.99	Facility		$300.33	$398.97	$787.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $712.10 / $900.02 / $1,295.72	Professional		$712.10	$900.02	$1,295.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $441.14 / $441.14 / $1,727.25	Facility		$441.14	$441.14	$1,727.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $452.57 / $1,942.35 / $3,516.49	Professional		$452.57	$1,942.35	$3,516.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $671.60 / $671.60 / $671.60	Professional		$671.60	$671.60	$671.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $627.90 / $1,120.02 / $1,120.02	Professional		$627.90	$1,120.02	$1,120.02
United Facility/Professional Professional Modifier Low / Median / High Price $409.33 / $640.98 / $1,231.82	Professional		$409.33	$640.98	$1,231.82