Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.80 / $151.80 / $151.80	Facility		$151.80	$151.80	$151.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $155.36 / $217.43	Professional		$150.94	$155.36	$217.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.24 / $518.26 / $1,059.72	Professional		$256.24	$518.26	$1,059.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $241.93 / $343.38 / $588.95	Facility		$241.93	$343.38	$588.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.08 / $328.39 / $530.77	Professional		$257.08	$328.39	$530.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $160.94 / $321.88	Professional		$160.94	$160.94	$321.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $151.80 / $209.77 / $546.41	Facility		$151.80	$209.77	$546.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $275.20 / $275.20 / $275.20	Professional		$275.20	$275.20	$275.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.80 / $209.77 / $546.41	Facility		$151.80	$209.77	$546.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.59 / $156.63 / $390.39	Professional		$144.59	$156.63	$390.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $151.80 / $209.77 / $546.41	Facility		$151.80	$209.77	$546.41
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $275.20 / $275.20 / $275.20	Professional		$275.20	$275.20	$275.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.48 / $413.46 / $821.00	Professional		$295.48	$413.46	$821.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $515.91 / $527.58 / $1,453.18	Facility		$515.91	$527.58	$1,453.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $1,176.93 / $1,409.81	Professional		$160.94	$1,176.93	$1,409.81
United Facility/Professional Professional Modifier Low / Median / High Price $120.49 / $144.59 / $275.20	Professional		$120.49	$144.59	$275.20