Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.10 / $352.10 / $352.10	Facility		$352.10	$352.10	$352.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.41 / $318.58 / $419.31	Professional		$223.41	$318.58	$419.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.50 / $560.45 / $927.29	Facility		$509.50	$560.45	$927.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.10 / $473.84 / $626.67	Professional		$303.10	$473.84	$626.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.93 / $109.03 / $109.03	Facility		$35.93	$109.03	$109.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.11 / $1,556.48 / $2,455.37	Facility		$238.11	$1,556.48	$2,455.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $602.21 / $745.31	Professional		$40.57	$602.21	$745.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.90 / $61.14 / $528.15	Facility		$33.90	$61.14	$528.15
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $39.88 / $61.14	Professional		$39.88	$39.88	$61.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.86 / $80.00 / $498.50	Facility		$40.86	$80.00	$498.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $49.85 / $388.92	Professional		$26.17	$49.85	$388.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.94 / $58.40 / $388.84	Professional		$0.94	$58.40	$388.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $33.90 / $61.14 / $528.15	Facility		$33.90	$61.14	$528.15
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $39.88 / $61.14	Professional		$39.88	$39.88	$61.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $114.38 / $148.51	Professional		$56.89	$114.38	$148.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $238.11 / $498.50	Facility		$65.00	$238.11	$498.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $40.57 / $40.57	Professional		$40.57	$40.57	$40.57
United Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $38.43 / $383.40	Professional		$22.45	$38.43	$383.40