Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,196.36 / $1,196.36 / $1,196.36	Facility		$1,196.36	$1,196.36	$1,196.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $755.48 / $1,076.73 / $1,202.84	Professional		$755.48	$1,076.73	$1,202.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,795.60 / $3,267.99 / $3,267.99	Facility		$1,795.60	$3,267.99	$3,267.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $974.83 / $1,669.91 / $2,208.58	Professional		$974.83	$1,669.91	$2,208.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.16 / $129.16 / $384.26	Facility		$129.16	$129.16	$384.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.04 / $860.04 / $5,488.64	Facility		$860.04	$860.04	$5,488.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.03 / $2,081.25 / $2,601.56	Professional		$731.03	$2,081.25	$2,601.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $106.23 / $491.54 / $1,794.56	Facility		$106.23	$491.54	$1,794.56
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $215.47 / $215.47 / $694.77	Professional		$215.47	$215.47	$694.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $179.56 / $1,409.10 / $8,057.06	Facility		$179.56	$1,409.10	$8,057.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $579.88 / $842.91 / $1,495.64	Professional		$579.88	$842.91	$1,495.64
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 $107.74 / $850.06 / $1,794.56	Facility		$107.74	$850.06	$1,794.56
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $215.47 / $215.47 / $694.77	Professional		$215.47	$215.47	$694.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $201.65 / $358.90 / $466.01	Professional		$201.65	$358.90	$466.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $860.04 / $2,900.18 / $8,057.06	Facility		$860.04	$2,900.18	$8,057.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $126.91 / $860.04 / $860.04	Professional		$126.91	$860.04	$860.04
United Facility/Professional Professional Modifier Low / Median / High Price $579.88 / $755.38 / $1,495.64	Professional		$579.88	$755.38	$1,495.64