Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $821.31 / $821.31 / $821.31	Facility		$821.31	$821.31	$821.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.69 / $759.33 / $971.46	Professional		$518.69	$759.33	$971.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,232.80 / $2,243.69 / $2,243.69	Facility		$1,232.80	$2,243.69	$2,243.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $694.20 / $1,146.50 / $1,516.34	Professional		$694.20	$1,146.50	$1,516.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.68 / $88.68 / $263.82	Facility		$88.68	$88.68	$263.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $999.36 / $999.36 / $3,768.32	Facility		$999.36	$999.36	$3,768.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.46 / $1,428.75 / $1,785.94	Professional		$849.46	$1,428.75	$1,785.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $87.02 / $397.08 / $1,365.89	Facility		$87.02	$397.08	$1,365.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $147.94 / $147.94 / $561.16	Professional		$147.94	$147.94	$561.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.28 / $1,138.24 / $6,508.31	Facility		$123.28	$1,138.24	$6,508.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $468.37 / $682.72 / $1,208.08	Professional		$468.37	$682.72	$1,208.08
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 $87.02 / $686.58 / $1,365.89	Facility		$87.02	$686.58	$1,365.89
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $147.94 / $147.94 / $561.16	Professional		$147.94	$147.94	$561.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.44 / $290.27 / $376.91	Professional		$138.44	$290.27	$376.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $806.68 / $2,342.69 / $6,508.31	Facility		$806.68	$2,342.69	$6,508.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $99.55 / $999.36 / $999.36	Professional		$99.55	$999.36	$999.36
United Facility/Professional Professional Modifier Low / Median / High Price $468.37 / $682.94 / $1,208.08	Professional		$468.37	$682.94	$1,208.08