Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.25 / $474.25 / $474.25	Facility		$474.25	$474.25	$474.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.91 / $425.75 / $551.61	Professional		$293.91	$425.75	$551.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $700.80 / $770.88 / $1,275.46	Facility		$700.80	$770.88	$1,275.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.20 / $651.74 / $861.98	Professional		$469.20	$651.74	$861.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.40 / $149.97 / $149.97	Facility		$49.40	$149.97	$149.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $1,865.32 / $2,897.10	Facility		$429.00	$1,865.32	$2,897.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.65 / $810.00 / $1,012.50	Professional		$364.65	$810.00	$1,012.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $50.82 / $285.89 / $738.85	Facility		$50.82	$285.89	$738.85
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $84.10 / $404.03 / $404.03	Professional		$84.10	$404.03	$404.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $615.71 / $3,520.55	Facility		$69.84	$615.71	$3,520.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.31 / $353.35 / $587.42	Professional		$258.31	$353.35	$587.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $58.40 / $545.71	Professional		$1.33	$58.40	$545.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $50.82 / $474.25 / $788.11	Facility		$50.82	$474.25	$788.11
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $84.10 / $404.03 / $404.03	Professional		$84.10	$404.03	$404.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.25 / $156.97 / $203.82	Professional		$78.25	$156.97	$203.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $800.86 / $3,520.55	Facility		$429.00	$800.86	$3,520.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $429.00 / $429.00	Professional		$54.03	$429.00	$429.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.99 / $318.58 / $566.74	Professional		$226.99	$318.58	$566.74