Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.99 / $934.99 / $934.99	Facility		$934.99	$934.99	$934.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.24 / $841.49 / $1,105.92	Professional		$590.24	$841.49	$1,105.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,403.30 / $2,554.01 / $2,554.01	Facility		$1,403.30	$2,554.01	$2,554.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,033.06 / $1,305.07 / $1,754.12	Professional		$1,033.06	$1,305.07	$1,754.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.51 / $100.95 / $300.31	Facility		$100.51	$100.95	$300.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.51 / $606.51 / $4,290.56	Facility		$606.51	$606.51	$4,290.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.53 / $1,627.50 / $2,034.38	Professional		$515.53	$1,627.50	$2,034.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $445.72 / $1,048.74 / $1,682.98	Facility		$445.72	$1,048.74	$1,682.98
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $932.22 / $932.22 / $1,683.96	Professional		$932.22	$932.22	$1,683.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $445.72 / $1,403.30 / $7,407.45	Facility		$445.72	$1,403.30	$7,407.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $585.15 / $814.10 / $1,744.50	Professional		$585.15	$814.10	$1,744.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $90.00 / $1,469.80	Professional		$50.00	$90.00	$1,469.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $445.72 / $1,188.58 / $1,682.98	Facility		$445.72	$1,188.58	$1,682.98
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $932.22 / $932.22 / $1,683.96	Professional		$932.22	$932.22	$1,683.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $157.60 / $330.51 / $429.14	Professional		$157.60	$330.51	$429.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $606.51 / $2,666.36 / $7,407.45	Facility		$606.51	$2,666.36	$7,407.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $112.05 / $606.51 / $606.51	Professional		$112.05	$606.51	$606.51
United Facility/Professional Professional Modifier Low / Median / High Price $548.16 / $797.93 / $1,403.30	Professional		$548.16	$797.93	$1,403.30