Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,190.16 / $2,190.16 / $2,190.16	Facility		$2,190.16	$2,190.16	$2,190.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,276.85 / $2,090.91 / $2,681.37	Professional		$1,276.85	$2,090.91	$2,681.37
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 $1,892.14 / $2,083.01 / $2,754.95	Professional		$1,892.14	$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 $2,576.44 / $7,618.56 / $12,018.39	Facility		$2,576.44	$7,618.56	$12,018.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $2,910.00 / $3,637.50	Professional		$192.51	$2,910.00	$3,637.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $257.58 / $1,989.95 / $3,285.24	Facility		$257.58	$1,989.95	$3,285.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $268.77 / $431.47 / $431.47	Professional		$268.77	$431.47	$431.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.98 / $2,190.16 / $9,481.87	Facility		$223.98	$2,190.16	$9,481.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.13 / $376.23 / $2,901.29	Professional		$163.13	$376.23	$2,901.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.22 / $58.40 / $1,731.92	Professional		$4.22	$58.40	$1,731.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $223.98 / $2,062.98 / $3,285.24	Facility		$223.98	$2,062.98	$3,285.24
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $268.77 / $431.47 / $431.47	Professional		$268.77	$431.47	$431.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $230.37 / $422.80 / $549.88	Professional		$230.37	$422.80	$549.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $4,685.76 / $9,481.87	Facility		$65.00	$4,685.76	$9,481.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $192.51 / $1,472.88	Professional		$192.51	$192.51	$1,472.88
United Facility/Professional Professional Modifier Low / Median / High Price $163.13 / $358.11 / $2,334.26	Professional		$163.13	$358.11	$2,334.26