Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.58 / $1,038.58 / $1,038.58	Facility		$1,038.58	$1,038.58	$1,038.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.05 / $934.73 / $1,445.22	Professional		$672.05	$934.73	$1,445.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,558.80 / $2,837.02 / $2,837.02	Facility		$1,558.80	$2,837.02	$2,837.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $995.59 / $1,449.68 / $1,917.32	Professional		$995.59	$1,449.68	$1,917.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.15 / $112.15 / $333.58	Facility		$112.15	$112.15	$333.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.03 / $511.03 / $4,761.60	Facility		$511.03	$511.03	$4,761.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.38 / $1,807.50 / $2,259.38	Professional		$434.38	$1,807.50	$2,259.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $106.66 / $502.07 / $1,726.96	Facility		$106.66	$502.07	$1,726.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $187.06 / $187.06 / $709.46	Professional		$187.06	$187.06	$709.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.88 / $1,439.13 / $8,228.75	Facility		$155.88	$1,439.13	$8,228.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $592.23 / $778.07 / $1,527.35	Professional		$592.23	$778.07	$1,527.35
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 $106.66 / $868.26 / $1,726.96	Facility		$106.66	$868.26	$1,726.96
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $187.06 / $187.06 / $709.46	Professional		$187.06	$187.06	$709.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $175.06 / $366.79 / $476.25	Professional		$175.06	$366.79	$476.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $511.03 / $2,961.98 / $8,228.75	Facility		$511.03	$2,961.98	$8,228.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $511.03 / $511.03	Professional		$125.89	$511.03	$511.03
United Facility/Professional Professional Modifier Low / Median / High Price $592.23 / $863.42 / $1,439.13	Professional		$592.23	$863.42	$1,439.13