Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.14 / $266.14 / $266.14	Facility		$266.14	$266.14	$266.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.69 / $232.15 / $304.20	Professional		$157.69	$232.15	$304.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.10 / $524.34 / $524.34	Facility		$288.10	$524.34	$524.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.00 / $267.93 / $401.89	Professional		$222.00	$267.93	$401.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $20.30 / $61.65	Facility		$20.30	$20.30	$61.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.40 / $193.40 / $747.93	Facility		$193.40	$193.40	$747.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.39 / $326.25 / $407.81	Professional		$164.39	$326.25	$407.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.13 / $232.15 / $399.21	Facility		$33.13	$232.15	$399.21
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $34.57 / $42.62	Professional		$34.57	$34.57	$42.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.21 / $514.54 / $1,288.56	Facility		$41.21	$514.54	$1,288.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $53.09 / $487.00	Professional		$19.80	$53.09	$487.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.47 / $55.00 / $193.93	Professional		$0.47	$55.00	$193.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $33.13 / $232.15 / $399.21	Facility		$33.13	$232.15	$399.21
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $34.57 / $42.62	Professional		$34.57	$34.57	$42.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $57.58 / $74.77	Professional		$32.17	$57.58	$74.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $253.86 / $514.54 / $1,288.56	Facility		$253.86	$514.54	$1,288.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $193.40 / $258.98	Professional		$23.77	$193.40	$258.98
United Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $48.43 / $373.37	Professional		$19.80	$48.43	$373.37