Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.12 / $1,983.77 / $3,524.50	Facility		$321.12	$1,983.77	$3,524.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.46 / $196.83 / $321.12	Professional		$157.46	$196.83	$321.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.50 / $306.44 / $842.80	Professional		$183.50	$306.44	$842.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $171.21 / $214.27 / $267.30	Facility		$171.21	$214.27	$267.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.93 / $222.57 / $375.60	Professional		$181.93	$222.57	$375.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $725.40 / $847.69 / $1,300.38	Facility		$725.40	$847.69	$1,300.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $382.03 / $495.14	Professional		$156.72	$382.03	$495.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $157.47 / $227.65 / $356.67	Facility		$157.47	$227.65	$356.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $157.47 / $241.62 / $549.29	Facility		$157.47	$241.62	$549.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $195.83 / $440.42 / $1,176.10	Professional		$195.83	$440.42	$1,176.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $651.62	Professional		$50.00	$70.00	$651.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $157.47 / $228.76 / $356.67	Facility		$157.47	$228.76	$356.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $262.61 / $481.96 / $672.10	Professional		$262.61	$481.96	$672.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $227.29 / $1,081.45 / $1,081.45	Facility		$227.29	$1,081.45	$1,081.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $883.60 / $1,176.10	Professional		$156.72	$883.60	$1,176.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $319.36 / $319.36 / $319.36	Professional		$319.36	$319.36	$319.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,028.30 / $1,028.30 / $1,028.30	Professional		$1,028.30	$1,028.30	$1,028.30
United Facility/Professional Professional Modifier Low / Median / High Price $205.49 / $426.33 / $862.79	Professional		$205.49	$426.33	$862.79