Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.37 / $181.37 / $181.37	Facility		$181.37	$181.37	$181.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.27 / $160.52 / $203.31	Professional		$108.27	$160.52	$203.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.00 / $493.22 / $493.22	Facility		$271.00	$493.22	$493.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.74 / $252.03 / $333.33	Professional		$206.74	$252.03	$333.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $20.41 / $60.73	Facility		$19.11	$20.41	$60.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.27 / $174.27 / $808.96	Facility		$174.27	$174.27	$808.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.13 / $307.50 / $384.38	Professional		$148.13	$307.50	$384.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.64 / $137.94 / $278.23	Facility		$32.64	$137.94	$278.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $34.06 / $34.06 / $162.28	Professional		$34.06	$34.06	$162.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.12 / $231.86 / $1,325.73	Facility		$31.12	$231.86	$1,325.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.26 / $136.16 / $249.15	Professional		$97.26	$136.16	$249.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $65.00	Professional		$50.00	$58.40	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $32.64 / $181.37 / $278.23	Facility		$32.64	$181.37	$278.23
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $34.06 / $34.06 / $162.28	Professional		$34.06	$34.06	$162.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.26 / $59.16 / $76.81	Professional		$30.26	$59.16	$76.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $174.27 / $343.40 / $1,325.73	Facility		$174.27	$343.40	$1,325.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $174.27 / $174.27	Professional		$19.86	$174.27	$174.27
United Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $136.16 / $249.15	Professional		$83.34	$136.16	$249.15