Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.24 / $118.24 / $8,448.77	Facility		$118.24	$118.24	$8,448.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.24 / $150.11 / $33,907.19	Professional		$118.24	$150.11	$33,907.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.88 / $372.52 / $632.89	Professional		$255.88	$372.52	$632.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.61 / $185.61 / $185.61	Facility		$185.61	$185.61	$185.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.61 / $927.00 / $1,297.40	Facility		$482.61	$927.00	$1,297.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.63 / $410.22 / $482.61	Professional		$347.63	$410.22	$482.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $118.24 / $212.83 / $343.23	Facility		$118.24	$212.83	$343.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $326.06 / $326.06 / $326.06	Professional		$326.06	$326.06	$326.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.50 / $279.38 / $1,226.58	Facility		$128.50	$279.38	$1,226.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.41 / $254.20 / $403.71	Professional		$142.41	$254.20	$403.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $350.23	Professional		$50.00	$65.00	$350.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $118.24 / $210.58 / $343.23	Facility		$118.24	$210.58	$343.23
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $326.06 / $326.06 / $326.06	Professional		$326.06	$326.06	$326.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $297.85 / $546.64 / $709.77	Professional		$297.85	$546.64	$709.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $441.52 / $572.41 / $1,226.58	Facility		$441.52	$572.41	$1,226.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $410.22 / $482.61 / $1,503.79	Professional		$410.22	$482.61	$1,503.79
United Facility/Professional Professional Modifier Low / Median / High Price $126.35 / $199.80 / $385.24	Professional		$126.35	$199.80	$385.24