Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.39 / $1,146.39 / $1,146.39	Facility		$1,146.39	$1,146.39	$1,146.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.20 / $1,007.50 / $1,296.16	Professional		$712.20	$1,007.50	$1,296.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,341.80 / $1,341.80 / $2,442.08	Facility		$1,341.80	$1,341.80	$2,442.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,160.51 / $1,247.86 / $1,583.32	Professional		$1,160.51	$1,247.86	$1,583.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.49 / $287.14 / $287.14	Facility		$90.49	$287.14	$287.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $936.57 / $3,911.68 / $5,346.33	Facility		$936.57	$3,911.68	$5,346.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.08 / $964.67 / $1,865.63	Professional		$796.08	$964.67	$1,865.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $128.22 / $972.12 / $1,719.59	Facility		$128.22	$972.12	$1,719.59
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $161.02 / $183.27 / $183.27	Professional		$161.02	$183.27	$183.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.09 / $1,103.47 / $6,600.33	Facility		$103.09	$1,103.47	$6,600.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.19 / $136.85 / $5,286.06	Professional		$78.19	$136.85	$5,286.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.66 / $58.40 / $70.00	Professional		$3.66	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $103.09 / $988.56 / $1,719.59	Facility		$103.09	$988.56	$1,719.59
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $161.02 / $183.27 / $183.27	Professional		$161.02	$183.27	$183.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $149.19 / $294.22 / $403.51	Professional		$149.19	$294.22	$403.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $2,375.84 / $6,600.33	Facility		$80.00	$2,375.84	$6,600.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $796.08 / $936.57 / $6,403.49	Professional		$796.08	$936.57	$6,403.49
United Facility/Professional Professional Modifier Low / Median / High Price $78.19 / $129.19 / $1,154.33	Professional		$78.19	$129.19	$1,154.33