Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,729.21 / $1,729.21 / $1,729.21	Facility		$1,729.21	$1,729.21	$1,729.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,091.96 / $1,556.29 / $2,045.34	Professional		$1,091.96	$1,556.29	$2,045.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,595.30 / $4,723.45 / $4,723.45	Facility		$2,595.30	$4,723.45	$4,723.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,910.52 / $2,413.63 / $3,244.12	Professional		$1,910.52	$2,413.63	$3,244.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.71 / $186.71 / $555.39	Facility		$186.71	$186.71	$555.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.60 / $1,436.52 / $7,925.76	Facility		$192.60	$1,436.52	$7,925.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,221.04 / $3,007.50 / $3,759.38	Professional		$1,221.04	$3,007.50	$3,759.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $298.45 / $1,263.06 / $2,593.82	Facility		$298.45	$1,263.06	$2,593.82
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $311.44 / $311.44 / $1,485.94	Professional		$311.44	$311.44	$1,485.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $285.48 / $2,036.57 / $11,644.83	Facility		$285.48	$2,036.57	$11,644.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $910.36 / $1,221.94 / $2,162.04	Professional		$910.36	$1,221.94	$2,162.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $58.40 / $2,595.30	Professional		$6.48	$58.40	$2,595.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $298.45 / $1,671.69 / $2,593.82	Facility		$298.45	$1,671.69	$2,593.82
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $311.44 / $311.44 / $1,485.94	Professional		$311.44	$311.44	$1,485.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $291.47 / $519.03 / $673.92	Professional		$291.47	$519.03	$673.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,436.52 / $4,191.64 / $11,644.83	Facility		$1,436.52	$4,191.64	$11,644.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $183.43 / $1,221.04 / $1,436.52	Professional		$183.43	$1,221.04	$1,436.52
United Facility/Professional Professional Modifier Low / Median / High Price $880.63 / $1,221.94 / $2,128.08	Professional		$880.63	$1,221.94	$2,128.08