Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,326.66 / $2,326.66 / $2,326.66	Facility		$2,326.66	$2,326.66	$2,326.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,427.94 / $2,093.98 / $2,624.49	Professional		$1,427.94	$2,093.98	$2,624.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,492.00 / $6,355.44 / $6,355.44	Facility		$3,492.00	$6,355.44	$6,355.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,570.80 / $3,247.56 / $4,365.00	Professional		$2,570.80	$3,247.56	$4,365.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $251.22 / $251.22 / $747.29	Facility		$251.22	$251.22	$747.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $2,160.00 / $10,659.84	Facility		$2,160.00	$2,160.00	$10,659.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,836.00 / $4,050.00 / $5,062.50	Professional		$1,836.00	$4,050.00	$5,062.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $209.52 / $955.98 / $3,489.99	Facility		$209.52	$955.98	$3,489.99
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $199.94 / $199.94 / $419.04	Professional		$199.94	$199.94	$419.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $209.52 / $2,740.50 / $15,669.80	Facility		$209.52	$2,740.50	$15,669.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,098.26 / $1,644.13 / $2,908.58	Professional		$1,098.26	$1,644.13	$2,908.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $58.40 / $1,488.63	Professional		$1.81	$58.40	$1,488.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $209.52 / $955.98 / $3,489.99	Facility		$209.52	$955.98	$3,489.99
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $199.94 / $199.94 / $419.04	Professional		$199.94	$199.94	$419.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $392.17 / $698.09 / $906.42	Professional		$392.17	$698.09	$906.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $5,640.44 / $15,669.80	Facility		$65.00	$5,640.44	$15,669.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $259.39 / $2,160.00 / $2,160.00	Professional		$259.39	$2,160.00	$2,160.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,127.82 / $1,644.30 / $2,863.64	Professional		$1,127.82	$1,644.30	$2,863.64