Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.22 / $360.22 / $360.22	Facility		$360.22	$360.22	$360.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.59 / $305.24 / $406.53	Professional		$216.59	$305.24	$406.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $518.60 / $943.85 / $943.85	Facility		$518.60	$943.85	$943.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.98 / $482.30 / $637.87	Professional		$392.98	$482.30	$637.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.57 / $44.74 / $133.11	Facility		$36.57	$44.74	$133.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.62 / $327.62 / $1,270.58	Facility		$327.62	$327.62	$1,270.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.48 / $551.25 / $689.06	Professional		$278.48	$551.25	$689.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $71.53 / $360.22 / $540.33	Facility		$71.53	$360.22	$540.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $74.64 / $74.64 / $413.26	Professional		$74.64	$74.64	$413.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.53 / $518.52 / $1,856.74	Facility		$63.53	$518.52	$1,856.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $207.47 / $335.58 / $520.55	Professional		$207.47	$335.58	$520.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $185.96 / $338.86	Professional		$55.00	$185.96	$338.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $71.53 / $360.22 / $540.33	Facility		$71.53	$360.22	$540.33
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $74.64 / $74.64 / $413.26	Professional		$74.64	$74.64	$413.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $112.01 / $145.44	Professional		$57.90	$112.01	$145.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $327.62 / $668.34 / $1,856.74	Facility		$327.62	$668.34	$1,856.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.27 / $327.62 / $327.62	Professional		$38.27	$327.62	$327.62
United Facility/Professional Professional Modifier Low / Median / High Price $194.83 / $302.44 / $520.55	Professional		$194.83	$302.44	$520.55