Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $518.55 / $518.55 / $518.55	Facility		$518.55	$518.55	$518.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.58 / $468.47 / $594.17	Professional		$316.58	$468.47	$594.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $725.60 / $798.16 / $1,320.59	Facility		$725.60	$798.16	$1,320.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $502.39 / $674.81 / $892.48	Professional		$502.39	$674.81	$892.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.15 / $155.28 / $155.28	Facility		$51.15	$155.28	$155.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.80 / $1,982.46 / $3,079.04	Facility		$370.80	$1,982.46	$3,079.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.18 / $862.50 / $1,078.13	Professional		$315.18	$862.50	$1,078.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.14 / $321.44 / $777.84	Facility		$57.14	$321.44	$777.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $454.27 / $454.27	Professional		$87.07	$454.27	$454.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.56 / $652.80 / $2,587.75	Facility		$72.56	$652.80	$2,587.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $287.14 / $400.58 / $630.15	Professional		$287.14	$400.58	$630.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $58.40 / $594.99	Professional		$1.45	$58.40	$594.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $57.14 / $518.55 / $777.84	Facility		$57.14	$518.55	$777.84
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $454.27 / $454.27	Professional		$87.07	$454.27	$454.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.02 / $163.28 / $212.01	Professional		$81.02	$163.28	$212.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $370.80 / $931.48 / $2,587.75	Facility		$370.80	$931.48	$2,587.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $370.80 / $370.80	Professional		$57.24	$370.80	$370.80
United Facility/Professional Professional Modifier Low / Median / High Price $271.54 / $343.44 / $637.42	Professional		$271.54	$343.44	$637.42