Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.06 / $340.06 / $340.06	Facility		$340.06	$340.06	$340.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.73 / $306.05 / $402.21	Professional		$214.73	$306.05	$402.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $510.40 / $928.93 / $928.93	Facility		$510.40	$928.93	$928.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.91 / $474.67 / $638.00	Professional		$396.91	$474.67	$638.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $109.23	Facility		$36.72	$36.72	$109.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.77 / $172.77 / $1,556.48	Facility		$172.77	$172.77	$1,556.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.85 / $592.50 / $740.63	Professional		$146.85	$592.50	$740.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $279.33 / $510.09	Facility		$58.70	$279.33	$510.09
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $61.25 / $61.25 / $292.11	Professional		$61.25	$61.25	$292.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.14 / $400.57 / $2,290.40	Facility		$56.14	$400.57	$2,290.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $179.01 / $240.35 / $425.12	Professional		$179.01	$240.35	$425.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $191.34 / $348.66	Professional		$55.00	$191.34	$348.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $279.33 / $510.09	Facility		$58.70	$279.33	$510.09
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $61.25 / $61.25 / $292.11	Professional		$61.25	$61.25	$292.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.32 / $101.76 / $132.12	Professional		$57.32	$101.76	$132.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $172.77 / $824.44 / $2,290.40	Facility		$172.77	$824.44	$2,290.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $172.77 / $172.77	Professional		$36.07	$172.77	$172.77
United Facility/Professional Professional Modifier Low / Median / High Price $173.16 / $240.34 / $425.12	Professional		$173.16	$240.34	$425.12