Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.54 / $1,513.54 / $1,513.54	Facility		$1,513.54	$1,513.54	$1,513.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $966.72 / $1,376.11 / $1,800.99	Professional		$966.72	$1,376.11	$1,800.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,961.20 / $2,157.32 / $3,569.38	Facility		$1,961.20	$2,157.32	$3,569.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,467.50 / $1,823.92 / $2,412.27	Professional		$1,467.50	$1,823.92	$2,412.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.26 / $419.70 / $419.70	Facility		$138.26	$419.70	$419.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,293.24 / $6,051.84 / $9,546.87	Facility		$1,293.24	$6,051.84	$9,546.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,491.30 / $2,333.10 / $2,887.50	Professional		$1,491.30	$2,333.10	$2,887.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $184.09 / $1,035.50 / $2,270.31	Facility		$184.09	$1,035.50	$2,270.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $235.34 / $1,463.55 / $1,463.55	Professional		$235.34	$1,463.55	$1,463.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $196.12 / $2,724.37 / $9,600.49	Facility		$196.12	$2,724.37	$9,600.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $942.81 / $1,257.08 / $2,053.32	Professional		$942.81	$1,257.08	$2,053.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $58.40 / $1,471.81	Professional		$3.58	$58.40	$1,471.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $184.09 / $1,513.54 / $2,270.31	Facility		$184.09	$1,513.54	$2,270.31
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $235.34 / $1,463.55 / $1,463.55	Professional		$235.34	$1,463.55	$1,463.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $218.97 / $427.53 / $555.12	Professional		$218.97	$427.53	$555.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,293.24 / $3,455.76 / $9,600.49	Facility		$1,293.24	$3,455.76	$9,600.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $160.65 / $160.65 / $1,491.30	Professional		$160.65	$160.65	$1,491.30
United Facility/Professional Facility Modifier Low / Median / High Price $117.17 / $823.03 / $1,359.53	Facility		$117.17	$823.03	$1,359.53
United Facility/Professional Professional Modifier Low / Median / High Price $827.90 / $1,106.07 / $1,966.20	Professional		$827.90	$1,106.07	$1,966.20