Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.79 / $706.79 / $706.79	Facility		$706.79	$706.79	$706.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.32 / $653.45 / $983.52	Professional		$446.32	$653.45	$983.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,060.90 / $1,930.84 / $1,930.84	Facility		$1,060.90	$1,930.84	$1,930.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.51 / $986.64 / $1,326.12	Professional		$677.51	$986.64	$1,326.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.31 / $76.31 / $227.03	Facility		$76.31	$76.31	$227.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $766.64 / $766.64 / $3,235.84	Facility		$766.64	$766.64	$3,235.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.64 / $1,230.00 / $1,537.50	Professional		$651.64	$1,230.00	$1,537.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $63.66 / $341.60 / $1,175.33	Facility		$63.66	$341.60	$1,175.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $127.31 / $127.31 / $482.86	Professional		$127.31	$127.31	$482.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.09 / $979.44 / $5,600.27	Facility		$106.09	$979.44	$5,600.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $403.12 / $587.48 / $1,039.24	Professional		$403.12	$587.48	$1,039.24
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 $66.58 / $590.87 / $1,175.33	Facility		$66.58	$590.87	$1,175.33
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $127.31 / $127.31 / $482.86	Professional		$127.31	$127.31	$482.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $119.14 / $249.26 / $323.64	Professional		$119.14	$249.26	$323.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $693.95 / $2,015.86 / $5,600.27	Facility		$693.95	$2,015.86	$5,600.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.66 / $766.64 / $766.64	Professional		$85.66	$766.64	$766.64
United Facility/Professional Professional Modifier Low / Median / High Price $403.12 / $587.48 / $1,039.24	Professional		$403.12	$587.48	$1,039.24