Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.39 / $943.39 / $943.39	Facility		$943.39	$943.39	$943.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.36 / $849.05 / $948.42	Professional		$506.36	$849.05	$948.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,415.90 / $2,576.94 / $2,576.94	Facility		$1,415.90	$2,576.94	$2,576.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $768.71 / $1,316.79 / $1,769.87	Professional		$768.71	$1,316.79	$1,769.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $101.85 / $101.85 / $303.00	Facility		$101.85	$101.85	$303.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $344.45 / $344.45 / $4,321.28	Facility		$344.45	$344.45	$4,321.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.77 / $1,642.50 / $2,053.13	Professional		$292.77	$1,642.50	$2,053.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $387.63 / $1,415.09	Facility		$84.95	$387.63	$1,415.09
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $169.91 / $169.91 / $547.79	Professional		$169.91	$169.91	$547.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.59 / $1,111.00 / $6,352.54	Facility		$141.59	$1,111.00	$6,352.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.40 / $666.60 / $1,179.38	Professional		$457.40	$666.60	$1,179.38
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 $84.95 / $670.26 / $1,415.09	Facility		$84.95	$670.26	$1,415.09
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $169.91 / $169.91 / $547.79	Professional		$169.91	$169.91	$547.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $159.01 / $283.18 / $367.69	Professional		$159.01	$283.18	$367.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $344.45 / $2,286.64 / $6,352.54	Facility		$344.45	$2,286.64	$6,352.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $100.06 / $344.45 / $344.45	Professional		$100.06	$344.45	$344.45
United Facility/Professional Professional Modifier Low / Median / High Price $457.40 / $595.91 / $1,111.00	Professional		$457.40	$595.91	$1,111.00