Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.01 / $157.01 / $157.01	Facility		$157.01	$157.01	$157.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.58 / $141.12 / $185.04	Professional		$98.58	$141.12	$185.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.60 / $397.85 / $397.85	Facility		$218.60	$397.85	$397.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.30 / $203.60 / $268.87	Professional		$203.30	$203.60	$268.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $21.07 / $62.68	Facility		$15.42	$21.07	$62.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.98 / $123.98 / $585.73	Facility		$123.98	$123.98	$585.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.38 / $251.25 / $314.06	Professional		$105.38	$251.25	$314.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.68 / $165.52 / $235.52	Facility		$33.68	$165.52	$235.52
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $35.15 / $194.73	Professional		$35.15	$35.15	$194.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $244.33 / $1,102.70	Facility		$29.29	$244.33	$1,102.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.06 / $158.12 / $243.41	Professional		$92.06	$158.12	$243.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $94.03 / $171.35	Professional		$55.00	$94.03	$171.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $33.68 / $165.52 / $235.52	Facility		$33.68	$165.52	$235.52
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $35.15 / $194.73	Professional		$35.15	$35.15	$194.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.41 / $48.91 / $63.50	Professional		$24.41	$48.91	$63.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $123.98 / $374.00 / $1,102.70	Facility		$123.98	$374.00	$1,102.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $123.98 / $126.46	Professional		$17.16	$123.98	$126.46
United Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $133.34 / $243.41	Professional		$88.06	$133.34	$243.41