Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $971.74 / $971.74 / $971.74	Facility		$971.74	$971.74	$971.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.79 / $874.57 / $1,146.42	Professional		$610.79	$874.57	$1,146.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,397.90 / $1,537.69 / $2,544.17	Facility		$1,397.90	$1,537.69	$2,544.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,018.78 / $1,300.05 / $1,719.41	Professional		$1,018.78	$1,300.05	$1,719.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.55 / $299.14 / $299.14	Facility		$98.55	$299.14	$299.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $881.10 / $881.10 / $5,794.20	Facility		$881.10	$881.10	$5,794.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.94 / $1,620.00 / $2,025.00	Professional		$748.94	$1,620.00	$2,025.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $111.66 / $628.07 / $1,457.61	Facility		$111.66	$628.07	$1,457.61
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $167.75 / $887.70 / $887.70	Professional		$167.75	$887.70	$887.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $139.79 / $1,415.04 / $6,756.10	Facility		$139.79	$1,415.04	$6,756.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $638.67 / $887.70 / $1,635.78	Professional		$638.67	$887.70	$1,635.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $58.40 / $919.30	Professional		$2.24	$58.40	$919.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $111.66 / $971.74 / $1,512.42	Facility		$111.66	$971.74	$1,512.42
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $167.75 / $887.70 / $887.70	Professional		$167.75	$887.70	$887.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $156.08 / $323.41 / $419.92	Professional		$156.08	$323.41	$419.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $881.10 / $2,431.90 / $6,756.10	Facility		$881.10	$2,431.90	$6,756.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.87 / $881.10 / $881.10	Professional		$109.87	$881.10	$881.10
United Facility/Professional Professional Modifier Low / Median / High Price $610.11 / $826.52 / $1,503.38	Professional		$610.11	$826.52	$1,503.38