Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,130.71 / $1,130.71 / $1,130.71	Facility		$1,130.71	$1,130.71	$1,130.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.02 / $864.99 / $1,136.79	Professional		$714.02	$864.99	$1,136.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,697.10 / $3,088.72 / $3,088.72	Facility		$1,697.10	$3,088.72	$3,088.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.25 / $1,578.30 / $2,087.42	Professional		$812.25	$1,578.30	$2,087.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.09 / $122.09 / $363.18	Facility		$122.09	$122.09	$363.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,042.44 / $1,042.44 / $4,403.20	Facility		$1,042.44	$1,042.44	$4,403.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.07 / $1,672.50 / $2,090.63	Professional		$886.07	$1,672.50	$2,090.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $101.82 / $464.63 / $1,696.07	Facility		$101.82	$464.63	$1,696.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $203.65 / $203.65 / $656.55	Professional		$203.65	$203.65	$656.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.25 / $1,331.71 / $7,614.56	Facility		$144.25	$1,331.71	$7,614.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $548.14 / $758.71 / $1,413.36	Professional		$548.14	$758.71	$1,413.36
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 $101.82 / $803.62 / $1,696.07	Facility		$101.82	$803.62	$1,696.07
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $203.65 / $203.65 / $656.55	Professional		$203.65	$203.65	$656.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.59 / $339.18 / $440.41	Professional		$190.59	$339.18	$440.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $943.80 / $2,740.90 / $7,614.56	Facility		$943.80	$2,740.90	$7,614.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $119.94 / $1,042.44 / $1,042.44	Professional		$119.94	$1,042.44	$1,042.44
United Facility/Professional Professional Modifier Low / Median / High Price $548.14 / $714.14 / $1,413.36	Professional		$548.14	$714.14	$1,413.36