Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.70 / $469.70 / $469.70	Facility		$469.70	$469.70	$469.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.14 / $414.23 / $531.45	Professional		$283.14	$414.23	$531.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $684.60 / $753.06 / $1,245.97	Facility		$684.60	$753.06	$1,245.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.04 / $636.67 / $842.05	Professional		$427.04	$636.67	$842.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.27 / $146.50 / $146.50	Facility		$48.27	$146.50	$146.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.74 / $1,829.27 / $2,841.11	Facility		$316.74	$1,829.27	$2,841.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.23 / $791.25 / $989.06	Professional		$269.23	$791.25	$989.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.62 / $273.51 / $742.19	Facility		$48.62	$273.51	$742.19
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $386.66 / $386.66	Professional		$82.15	$386.66	$386.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.37 / $667.65 / $3,536.46	Facility		$68.37	$667.65	$3,536.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.73 / $338.09 / $562.08	Professional		$251.73	$338.09	$562.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.27 / $58.40 / $523.40	Professional		$1.27	$58.40	$523.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $48.62 / $469.70 / $791.67	Facility		$48.62	$469.70	$791.67
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $386.66 / $386.66	Professional		$82.15	$386.66	$386.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $76.43 / $157.76 / $204.84	Professional		$76.43	$157.76	$204.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $316.74 / $780.48 / $3,536.46	Facility		$316.74	$780.48	$3,536.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.19 / $316.74 / $316.74	Professional		$52.19	$316.74	$316.74
United Facility/Professional Professional Modifier Low / Median / High Price $217.35 / $335.64 / $542.27	Professional		$217.35	$335.64	$542.27