Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,403.57 / $1,403.57 / $1,403.57	Facility		$1,403.57	$1,403.57	$1,403.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $809.36 / $1,073.71 / $1,411.11	Professional		$809.36	$1,073.71	$1,411.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,106.60 / $3,834.01 / $3,834.01	Facility		$2,106.60	$3,834.01	$3,834.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,143.60 / $1,959.14 / $2,633.25	Professional		$1,143.60	$1,959.14	$2,633.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.54 / $151.54 / $450.81	Facility		$151.54	$151.54	$450.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $396.70 / $396.70 / $5,468.16	Facility		$396.70	$396.70	$5,468.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.20 / $2,077.50 / $2,596.88	Professional		$337.20	$2,077.50	$2,596.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $126.40 / $576.67 / $2,105.36	Facility		$126.40	$576.67	$2,105.36
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $252.79 / $252.79 / $815.02	Professional		$252.79	$252.79	$815.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $179.06 / $1,653.03 / $9,451.79	Facility		$179.06	$1,653.03	$9,451.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $680.42 / $897.97 / $1,754.48	Professional		$680.42	$897.97	$1,754.48
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 $126.40 / $997.23 / $2,105.36	Facility		$126.40	$997.23	$2,105.36
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $252.79 / $252.79 / $815.02	Professional		$252.79	$252.79	$815.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $236.58 / $421.22 / $546.91	Professional		$236.58	$421.22	$546.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $396.70 / $3,402.24 / $9,451.79	Facility		$396.70	$3,402.24	$9,451.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $148.88 / $396.70 / $396.70	Professional		$148.88	$396.70	$396.70
United Facility/Professional Professional Modifier Low / Median / High Price $662.47 / $897.97 / $1,754.48	Professional		$662.47	$897.97	$1,754.48