Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.60 / $278.60 / $278.60	Facility		$278.60	$278.60	$278.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.94 / $250.74 / $329.58	Professional		$175.94	$250.74	$329.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $418.20 / $761.12 / $761.12	Facility		$418.20	$761.12	$761.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.75 / $388.93 / $522.75	Professional		$307.75	$388.93	$522.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $30.09 / $89.52	Facility		$29.98	$30.09	$89.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.34 / $240.34 / $1,126.40	Facility		$240.34	$240.34	$1,126.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.29 / $483.75 / $604.69	Professional		$204.29	$483.75	$604.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $132.78 / $312.43 / $501.48	Facility		$132.78	$312.43	$501.48
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $277.70 / $277.70 / $501.84	Professional		$277.70	$277.70	$501.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.78 / $418.20 / $2,207.17	Facility		$132.78	$418.20	$2,207.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $174.32 / $242.76 / $520.20	Professional		$174.32	$242.76	$520.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $90.00 / $438.00	Professional		$50.00	$90.00	$438.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $132.78 / $325.99 / $501.48	Facility		$132.78	$325.99	$501.48
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $277.70 / $277.70 / $501.84	Professional		$277.70	$277.70	$501.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.97 / $98.60 / $128.03	Professional		$46.97	$98.60	$128.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $240.34 / $794.50 / $2,207.17	Facility		$240.34	$794.50	$2,207.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.42 / $240.34 / $240.34	Professional		$33.42	$240.34	$240.34
United Facility/Professional Professional Modifier Low / Median / High Price $166.60 / $242.76 / $418.20	Professional		$166.60	$242.76	$418.20