Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,340.94 / $2,340.94 / $2,340.94	Facility		$2,340.94	$2,340.94	$2,340.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,276.85 / $2,226.61 / $2,863.71	Professional		$1,276.85	$2,226.61	$2,863.71
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 $2,015.82 / $2,083.01 / $3,023.73	Professional		$2,015.82	$2,083.01	$3,023.73
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 $3,685.49 / $3,685.49 / $10,412.76	Facility		$3,685.49	$3,685.49	$10,412.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,910.00 / $3,637.50 / $3,685.49	Professional		$2,910.00	$3,637.50	$3,685.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $257.58 / $1,989.95 / $3,511.41	Facility		$257.58	$1,989.95	$3,511.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $268.77 / $491.58 / $491.58	Professional		$268.77	$491.58	$491.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.98 / $2,350.35 / $9,481.87	Facility		$223.98	$2,350.35	$9,481.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $174.41 / $405.67 / $3,305.47	Professional		$174.41	$405.67	$3,305.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $65.00	Professional		$50.00	$58.40	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $223.98 / $2,122.61 / $3,511.41	Facility		$223.98	$2,122.61	$3,511.41
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $268.77 / $491.58 / $491.58	Professional		$268.77	$491.58	$491.58
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 $80.00 / $5,338.56 / $9,481.87	Facility		$80.00	$5,338.56	$9,481.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $192.51 / $3,685.49 / $3,685.49	Professional		$192.51	$3,685.49	$3,685.49
United Facility/Professional Professional Modifier Low / Median / High Price $174.41 / $344.05 / $2,124.94	Professional		$174.41	$344.05	$2,124.94