Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,519.44 / $2,519.44 / $2,519.44	Facility		$2,519.44	$2,519.44	$2,519.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,276.85 / $2,387.26 / $3,097.44	Professional		$1,276.85	$2,387.26	$3,097.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,239.80 / $2,463.78 / $4,076.44	Facility		$2,239.80	$2,463.78	$4,076.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,751.98 / $2,083.01 / $2,754.95	Professional		$1,751.98	$2,083.01	$2,754.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.90 / $479.32 / $479.32	Facility		$157.90	$479.32	$479.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,195.38 / $7,618.56 / $12,018.39	Facility		$2,195.38	$7,618.56	$12,018.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,472.88 / $2,939.10 / $3,637.50	Professional		$1,472.88	$2,939.10	$3,637.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $257.58 / $1,989.95 / $3,779.16	Facility		$257.58	$1,989.95	$3,779.16
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $268.77 / $562.78 / $562.78	Professional		$268.77	$562.78	$562.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.98 / $2,519.44 / $9,481.87	Facility		$223.98	$2,519.44	$9,481.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $187.78 / $428.63 / $4,083.52	Professional		$187.78	$428.63	$4,083.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $58.40 / $1,331.51	Professional		$3.24	$58.40	$1,331.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $223.98 / $2,122.61 / $3,779.16	Facility		$223.98	$2,122.61	$3,779.16
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $268.77 / $562.78 / $562.78	Professional		$268.77	$562.78	$562.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $230.37 / $422.80 / $579.84	Professional		$230.37	$422.80	$579.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $3,413.06 / $9,481.87	Facility		$65.00	$3,413.06	$9,481.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $1,472.88 / $3,360.51	Professional		$192.51	$1,472.88	$3,360.51
United Facility/Professional Professional Modifier Low / Median / High Price $187.78 / $428.63 / $3,286.64	Professional		$187.78	$428.63	$3,286.64