Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.38 / $296.38 / $296.38	Facility		$296.38	$296.38	$296.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.15 / $266.74 / $350.55	Professional		$187.15	$266.74	$350.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $444.90 / $809.72 / $809.72	Facility		$444.90	$809.72	$809.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.62 / $413.76 / $547.22	Professional		$327.62	$413.76	$547.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $95.19 / $95.21	Facility		$32.00	$95.19	$95.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.92 / $219.78 / $1,198.49	Facility		$38.92	$219.78	$1,198.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.81 / $517.50 / $646.88	Professional		$186.81	$517.50	$646.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.16 / $296.38 / $492.94	Facility		$51.16	$296.38	$492.94
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $53.39 / $53.39 / $295.63	Professional		$53.39	$53.39	$295.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.94 / $410.78 / $2,348.81	Facility		$48.94	$410.78	$2,348.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.83 / $246.47 / $435.41	Professional		$151.83	$246.47	$435.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $90.00 / $465.90	Professional		$50.00	$90.00	$465.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $51.16 / $296.38 / $492.94	Facility		$51.16	$296.38	$492.94
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $53.39 / $53.39 / $295.63	Professional		$53.39	$53.39	$295.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $104.91 / $136.22	Professional		$49.96	$104.91	$136.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $219.78 / $845.46 / $2,348.81	Facility		$219.78	$845.46	$2,348.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.88 / $219.78 / $219.78	Professional		$35.88	$219.78	$219.78
United Facility/Professional Professional Modifier Low / Median / High Price $176.69 / $240.30 / $435.41	Professional		$176.69	$240.30	$435.41