Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,089.83 / $1,089.83 / $1,089.83	Facility		$1,089.83	$1,089.83	$1,089.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $584.99 / $980.85 / $1,095.75	Professional		$584.99	$980.85	$1,095.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,635.70 / $2,976.97 / $2,976.97	Facility		$1,635.70	$2,976.97	$2,976.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $887.98 / $1,521.20 / $2,011.91	Professional		$887.98	$1,521.20	$2,011.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.68 / $117.68 / $350.04	Facility		$117.68	$117.68	$350.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,397.47 / $4,997.12 / $7,883.03	Facility		$4,397.47	$4,997.12	$7,883.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $1,897.50 / $2,371.88	Professional		$115.61	$1,897.50	$2,371.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $98.14 / $447.80 / $1,634.75	Facility		$98.14	$447.80	$1,634.75
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $196.28 / $196.28 / $632.78	Professional		$196.28	$196.28	$632.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $163.57 / $1,283.73 / $7,340.19	Facility		$163.57	$1,283.73	$7,340.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $528.34 / $745.66 / $1,362.36	Professional		$528.34	$745.66	$1,362.36
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 $98.14 / $774.44 / $1,634.75	Facility		$98.14	$774.44	$1,634.75
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $196.28 / $196.28 / $632.78	Professional		$196.28	$196.28	$632.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $183.70 / $327.35 / $425.04	Professional		$183.70	$327.35	$425.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $909.52 / $2,642.14 / $7,340.19	Facility		$909.52	$2,642.14	$7,340.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $115.61 / $1,140.20	Professional		$115.61	$115.61	$1,140.20
United Facility/Professional Professional Modifier Low / Median / High Price $528.34 / $770.19 / $1,362.36	Professional		$528.34	$770.19	$1,362.36