Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.68 / $262.49 / $349.99	Facility		$226.68	$262.49	$349.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.98 / $302.24 / $397.02	Professional		$242.98	$302.24	$397.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.44 / $356.51 / $1,174.31	Professional		$293.44	$356.51	$1,174.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $364.29 / $462.98 / $547.74	Facility		$364.29	$462.98	$547.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $393.90 / $470.51 / $606.41	Professional		$393.90	$470.51	$606.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,130.00 / $1,320.50 / $1,755.05	Facility		$1,130.00	$1,320.50	$1,755.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $557.49 / $792.41	Professional		$378.23	$557.49	$792.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $302.24 / $375.39 / $765.70	Facility		$302.24	$375.39	$765.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.24 / $375.39 / $765.70	Facility		$302.24	$375.39	$765.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $393.90 / $778.55 / $2,551.41	Professional		$393.90	$778.55	$2,551.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.81 / $401.09 / $904.59	Professional		$245.81	$401.09	$904.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $302.24 / $375.39 / $765.70	Facility		$302.24	$375.39	$765.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $546.28 / $970.15 / $1,369.75	Professional		$546.28	$970.15	$1,369.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $517.19 / $736.84 / $1,927.28	Facility		$517.19	$736.84	$1,927.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $1,839.96 / $2,551.41	Professional		$378.23	$1,839.96	$2,551.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $351.68 / $1,047.80 / $1,162.83	Professional		$351.68	$1,047.80	$1,162.83
United Facility/Professional Professional Modifier Low / Median / High Price $386.89 / $714.99 / $1,336.80	Professional		$386.89	$714.99	$1,336.80