Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.46 / $238.80 / $729.22	Facility		$123.46	$238.80	$729.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.69 / $256.66 / $729.22	Professional		$160.69	$256.66	$729.22
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $231.39 / $353.91 / $823.00	Professional	25	$231.39	$353.91	$823.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.79 / $304.41 / $602.41	Professional		$185.79	$304.41	$602.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.51 / $133.55 / $175.00	Facility		$131.51	$133.55	$175.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $229.05 / $229.05 / $229.05	Professional		$229.05	$229.05	$229.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.53 / $878.23 / $1,347.22	Facility		$751.53	$878.23	$1,347.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.64 / $502.42 / $792.80	Professional		$273.64	$502.42	$792.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $164.05 / $229.67 / $344.93	Facility		$164.05	$229.67	$344.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $161.38 / $229.67 / $358.20	Facility		$161.38	$229.67	$358.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $268.13 / $475.13 / $1,741.13	Professional		$268.13	$475.13	$1,741.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.82 / $247.38 / $538.06	Professional		$155.82	$247.38	$538.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $164.05 / $229.67 / $344.93	Facility		$164.05	$229.67	$344.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $243.48 / $444.88 / $802.54	Professional		$243.48	$444.88	$802.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $360.82 / $360.82 / $853.77	Facility		$360.82	$360.82	$853.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $321.62 / $1,202.95 / $1,741.13	Professional		$321.62	$1,202.95	$1,741.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $219.18 / $391.29 / $581.27	Professional		$219.18	$391.29	$581.27
United Facility/Professional Professional Modifier Low / Median / High Price $266.77 / $414.23 / $639.71	Professional		$266.77	$414.23	$639.71