Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.36 / $759.36 / $759.36	Facility		$759.36	$759.36	$759.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $439.91 / $641.78 / $782.55	Professional		$439.91	$641.78	$782.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.70 / $2,074.25 / $2,074.25	Facility		$1,139.70	$2,074.25	$2,074.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $618.75 / $1,059.92 / $1,424.62	Professional		$618.75	$1,059.92	$1,424.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $82.00 / $243.90	Facility		$82.00	$82.00	$243.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.00 / $134.00 / $3,266.56	Facility		$134.00	$134.00	$3,266.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.90 / $1,241.25 / $1,551.56	Professional		$113.90	$1,241.25	$1,551.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $68.34 / $312.02 / $1,139.04	Facility		$68.34	$312.02	$1,139.04
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $136.76 / $136.76 / $440.91	Professional		$136.76	$136.76	$440.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.03 / $924.69 / $5,113.54	Facility		$107.03	$924.69	$5,113.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $368.03 / $489.57 / $949.24	Professional		$368.03	$489.57	$949.24
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 $68.38 / $539.72 / $1,139.04	Facility		$68.38	$539.72	$1,139.04
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $136.76 / $136.76 / $440.91	Professional		$136.76	$136.76	$440.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $227.96 / $295.99	Professional		$128.00	$227.96	$295.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $134.00 / $1,840.64 / $5,113.54	Facility		$134.00	$1,840.64	$5,113.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.23 / $134.00 / $134.00	Professional		$78.23	$134.00	$134.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.03 / $536.59 / $934.49	Professional		$368.03	$536.59	$934.49