Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $581.91 / $581.91 / $581.91	Facility		$581.91	$581.91	$581.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.33 / $471.30 / $585.09	Professional		$312.33	$471.30	$585.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $873.40 / $1,589.59 / $1,589.59	Facility		$873.40	$1,589.59	$1,589.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.10 / $812.26 / $1,074.28	Professional		$474.10	$812.26	$1,074.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.83 / $62.83 / $186.91	Facility		$62.83	$62.83	$186.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.12 / $232.12 / $2,396.16	Facility		$232.12	$232.12	$2,396.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.30 / $911.25 / $1,139.06	Professional		$197.30	$911.25	$1,139.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $52.40 / $239.09 / $872.87	Facility		$52.40	$239.09	$872.87
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $104.81 / $104.81 / $337.77	Professional		$104.81	$104.81	$337.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.59 / $685.36 / $3,918.77	Facility		$78.59	$685.36	$3,918.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $282.01 / $408.40 / $727.25	Professional		$282.01	$408.40	$727.25
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 $52.40 / $413.58 / $872.87	Facility		$52.40	$413.58	$872.87
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $104.81 / $104.81 / $337.77	Professional		$104.81	$104.81	$337.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $98.08 / $174.32 / $226.35	Professional		$98.08	$174.32	$226.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $232.12 / $1,410.58 / $3,918.77	Facility		$232.12	$1,410.58	$3,918.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $59.95 / $232.12 / $232.12	Professional		$59.95	$232.12	$232.12
United Facility/Professional Professional Modifier Low / Median / High Price $282.01 / $408.40 / $744.44	Professional		$282.01	$408.40	$744.44