Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,019.69 / $1,019.69 / $1,019.69	Facility		$1,019.69	$1,019.69	$1,019.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $547.32 / $882.50 / $1,025.19	Professional		$547.32	$882.50	$1,025.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,530.50 / $2,785.51 / $2,785.51	Facility		$1,530.50	$2,785.51	$2,785.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $830.84 / $1,423.37 / $1,913.12	Professional		$830.84	$1,423.37	$1,913.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.11 / $110.11 / $327.52	Facility		$110.11	$110.11	$327.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.00 / $469.00 / $4,495.35	Facility		$469.00	$469.00	$4,495.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.65 / $1,706.25 / $2,132.81	Professional		$398.65	$1,706.25	$2,132.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $91.83 / $418.95 / $1,529.54	Facility		$91.83	$418.95	$1,529.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $183.66 / $183.66 / $592.15	Professional		$183.66	$183.66	$592.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.16 / $1,201.08 / $6,867.59	Facility		$147.16	$1,201.08	$6,867.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $494.24 / $720.56 / $1,274.94	Professional		$494.24	$720.56	$1,274.94
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 $91.83 / $724.54 / $1,529.54	Facility		$91.83	$724.54	$1,529.54
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $183.66 / $183.66 / $592.15	Professional		$183.66	$183.66	$592.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $171.88 / $306.05 / $397.39	Professional		$171.88	$306.05	$397.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $469.00 / $2,472.04 / $6,867.59	Facility		$469.00	$2,472.04	$6,867.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $105.06 / $469.00 / $469.00	Professional		$105.06	$469.00	$469.00
United Facility/Professional Professional Modifier Low / Median / High Price $494.24 / $720.65 / $1,255.04	Professional		$494.24	$720.65	$1,255.04