Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.74 / $390.74 / $390.74	Facility		$390.74	$390.74	$390.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.55 / $352.96 / $513.54	Professional		$238.55	$352.96	$513.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $423.20 / $770.22 / $770.22	Facility		$423.20	$770.22	$770.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.22 / $393.58 / $590.37	Professional		$332.22	$393.58	$590.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $29.84 / $90.56	Facility		$29.84	$29.84	$90.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.77 / $330.77 / $1,171.46	Facility		$330.77	$330.77	$1,171.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.14 / $506.25 / $632.80	Professional		$281.14	$506.25	$632.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.67 / $390.74 / $660.23	Facility		$48.67	$390.74	$660.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $50.78 / $396.82	Professional		$50.78	$50.78	$396.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.67 / $565.59 / $2,028.80	Facility		$48.67	$565.59	$2,028.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $229.48 / $325.45 / $562.15	Professional		$229.48	$325.45	$562.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.74 / $55.00 / $305.20	Professional		$0.74	$55.00	$305.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $48.67 / $390.74 / $660.23	Facility		$48.67	$390.74	$660.23
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $50.78 / $396.82	Professional		$50.78	$50.78	$396.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $84.40 / $109.59	Professional		$47.25	$84.40	$109.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $330.77 / $1,260.54 / $2,028.80	Facility		$330.77	$1,260.54	$2,028.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $330.77 / $396.27	Professional		$35.97	$330.77	$396.27
United Facility/Professional Professional Modifier Low / Median / High Price $208.24 / $300.41 / $572.66	Professional		$208.24	$300.41	$572.66