Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,281.63 / $1,281.63 / $1,281.63	Facility		$1,281.63	$1,281.63	$1,281.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.49 / $1,108.99 / $1,448.01	Professional		$771.49	$1,108.99	$1,448.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,791.70 / $1,970.87 / $3,260.89	Facility		$1,791.70	$1,970.87	$3,260.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,220.20 / $1,666.28 / $2,203.79	Professional		$1,220.20	$1,666.28	$2,203.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.31 / $383.42 / $383.42	Facility		$126.31	$383.42	$383.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.47 / $4,784.95 / $7,431.68	Facility		$1,122.47	$4,784.95	$7,431.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.57 / $2,077.50 / $2,596.88	Professional		$341.57	$2,077.50	$2,596.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $135.91 / $764.55 / $2,057.56	Facility		$135.91	$764.55	$2,057.56
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $215.00 / $1,080.63 / $1,080.63	Professional		$215.00	$1,080.63	$1,080.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $179.17 / $1,952.75 / $9,804.04	Facility		$179.17	$1,952.75	$9,804.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $742.65 / $1,028.78 / $1,748.07	Professional		$742.65	$1,028.78	$1,748.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $58.40 / $1,469.19	Professional		$3.58	$58.40	$1,469.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $135.91 / $1,281.63 / $2,194.73	Facility		$135.91	$1,281.63	$2,194.73
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $215.00 / $1,080.63 / $1,080.63	Professional		$215.00	$1,080.63	$1,080.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $200.04 / $437.00 / $567.41	Professional		$200.04	$437.00	$567.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,122.47 / $2,598.82 / $9,804.04	Facility		$1,122.47	$2,598.82	$9,804.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $1,122.47 / $1,459.20	Professional		$140.82	$1,122.47	$1,459.20
United Facility/Professional Professional Modifier Low / Median / High Price $723.24 / $1,003.25 / $1,714.63	Professional		$723.24	$1,003.25	$1,714.63