Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.14 / $560.14 / $560.14	Facility		$560.14	$560.14	$560.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.13 / $468.34 / $641.70	Professional		$294.13	$468.34	$641.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $508.50 / $925.47 / $925.47	Facility		$508.50	$925.47	$925.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.10 / $472.91 / $709.36	Professional		$441.10	$472.91	$709.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.85 / $35.85 / $108.82	Facility		$35.85	$35.85	$108.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.00 / $654.75 / $1,378.71	Facility		$654.00	$654.75	$1,378.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $556.54 / $654.75 / $750.00	Professional		$556.54	$654.75	$750.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.48 / $520.79 / $984.82	Facility		$58.48	$520.79	$984.82
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $61.02 / $61.02 / $591.89	Professional		$61.02	$61.02	$591.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.48 / $843.63 / $2,522.61	Facility		$58.48	$843.63	$2,522.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $342.31 / $503.32 / $838.82	Professional		$342.31	$503.32	$838.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $55.00 / $366.29	Professional		$0.89	$55.00	$366.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $58.48 / $520.79 / $984.82	Facility		$58.48	$520.79	$984.82
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $61.02 / $61.02 / $591.89	Professional		$61.02	$61.02	$591.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.78 / $110.43 / $143.38	Professional		$56.78	$110.43	$143.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $654.75 / $1,880.29 / $2,522.61	Facility		$654.75	$1,880.29	$2,522.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.35 / $654.75 / $654.75	Professional		$44.35	$654.75	$654.75
United Facility/Professional Professional Modifier Low / Median / High Price $331.49 / $448.28 / $838.82	Professional		$331.49	$448.28	$838.82