Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,525.51 / $1,525.51 / $1,525.51	Facility		$1,525.51	$1,525.51	$1,525.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $963.34 / $1,372.96 / $1,804.41	Professional		$963.34	$1,372.96	$1,804.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,289.69 / $4,167.25 / $4,167.25	Facility		$2,289.69	$4,167.25	$4,167.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,685.57 / $2,129.42 / $2,862.12	Professional		$1,685.57	$2,129.42	$2,862.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $164.72 / $164.72 / $490.00	Facility		$164.72	$164.72	$490.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $975.26 / $975.26 / $6,154.65	Facility		$975.26	$975.26	$6,154.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $828.97 / $2,655.00 / $3,318.75	Professional		$828.97	$2,655.00	$3,318.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $263.32 / $1,114.33 / $2,288.27	Facility		$263.32	$1,114.33	$2,288.27
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $274.76 / $274.76 / $1,310.98	Professional		$274.76	$274.76	$1,310.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.87 / $1,796.66 / $10,273.09	Facility		$251.87	$1,796.66	$10,273.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $803.00 / $1,120.74 / $1,907.05	Professional		$803.00	$1,120.74	$1,907.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $58.40 / $2,289.69	Professional		$5.72	$58.40	$2,289.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $263.32 / $1,474.86 / $2,288.27	Facility		$263.32	$1,474.86	$2,288.27
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $274.76 / $274.76 / $1,310.98	Professional		$274.76	$274.76	$1,310.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $257.14 / $457.50 / $594.04	Professional		$257.14	$457.50	$594.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $975.26 / $3,697.86 / $10,273.09	Facility		$975.26	$3,697.86	$10,273.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $975.26 / $975.26	Professional		$161.82	$975.26	$975.26
United Facility/Professional Professional Modifier Low / Median / High Price $776.86 / $1,094.49 / $1,907.05	Professional		$776.86	$1,094.49	$1,907.05