Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.12 / $358.12 / $358.12	Facility		$358.12	$358.12	$358.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.94 / $335.48 / $414.72	Professional		$220.94	$335.48	$414.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $536.50 / $590.15 / $976.43	Facility		$536.50	$590.15	$976.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.18 / $498.95 / $659.89	Professional		$326.18	$498.95	$659.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.82 / $114.81 / $114.81	Facility		$37.82	$114.81	$114.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $1,423.77 / $2,211.31	Facility		$338.00	$1,423.77	$2,211.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.30 / $618.75 / $773.44	Professional		$287.30	$618.75	$773.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.93 / $207.72 / $537.17	Facility		$36.93	$207.72	$537.17
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $64.38 / $293.67 / $293.67	Professional		$64.38	$293.67	$293.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.31 / $422.00 / $1,637.27	Facility		$53.31	$422.00	$1,637.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.67 / $253.44 / $398.70	Professional		$181.67	$253.44	$398.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.03 / $58.40 / $426.40	Professional		$1.03	$58.40	$426.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $36.93 / $343.61 / $537.17	Facility		$36.93	$343.61	$537.17
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $64.38 / $293.67 / $293.67	Professional		$64.38	$293.67	$293.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $123.84 / $160.80	Professional		$59.90	$123.84	$160.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $589.34 / $1,637.27	Facility		$338.00	$589.34	$1,637.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.13 / $338.00 / $338.00	Professional		$41.13	$338.00	$338.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.92 / $239.37 / $398.48	Professional		$166.92	$239.37	$398.48