Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $223.06 / $573.95	Facility		$200.00	$223.06	$573.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.20 / $223.06 / $1,320.50	Professional		$98.20	$223.06	$1,320.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.36 / $217.44 / $611.88	Professional		$87.36	$217.44	$611.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.94 / $23.94 / $94.05	Facility		$23.94	$23.94	$94.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.99 / $458.07 / $608.80	Facility		$391.99	$458.07	$608.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.72 / $347.78 / $395.20	Professional		$136.72	$347.78	$395.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $171.74 / $425.00	Facility		$98.20	$171.74	$425.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $186.18 / $564.74	Facility		$98.20	$186.18	$564.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,257.00 / $1,257.00 / $1,257.00	Professional		$1,257.00	$1,257.00	$1,257.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $70.00 / $2,750.00	Professional		$58.40	$70.00	$2,750.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $171.74 / $425.00	Facility		$98.20	$171.74	$425.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $154.30 / $224.81 / $313.50	Professional		$154.30	$224.81	$313.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $229.63 / $2,600.00 / $2,600.00	Facility		$229.63	$2,600.00	$2,600.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $142.37 / $454.15 / $1,257.00	Professional		$142.37	$454.15	$1,257.00