Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $953.89 / $953.89 / $953.89	Facility		$953.89	$953.89	$953.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.49 / $860.58 / $1,090.16	Professional		$556.49	$860.58	$1,090.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,042.09 / $1,042.09 / $1,896.62	Facility		$1,042.09	$1,042.09	$1,896.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $937.89 / $969.15 / $1,312.38	Professional		$937.89	$969.15	$1,312.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $223.01 / $223.01	Facility		$69.34	$223.01	$223.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $845.38 / $3,174.40 / $4,338.64	Facility		$845.38	$3,174.40	$4,338.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.57 / $870.74 / $1,518.75	Professional		$718.57	$870.74	$1,518.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.42 / $792.57 / $1,430.84	Facility		$100.42	$792.57	$1,430.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $125.05 / $172.30 / $172.30	Professional		$125.05	$172.30	$172.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $835.59 / $5,143.63	Facility		$80.00	$835.59	$5,143.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $119.27 / $4,065.12	Professional		$65.62	$119.27	$4,065.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $58.40 / $70.00	Professional		$2.14	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $96.67 / $835.59 / $1,430.84	Facility		$96.67	$835.59	$1,430.84
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $125.05 / $172.30 / $172.30	Professional		$125.05	$172.30	$172.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $229.54 / $314.80	Professional		$116.36	$229.54	$314.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $1,826.13 / $5,143.63	Facility		$65.00	$1,826.13	$5,143.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $718.57 / $845.38 / $4,990.22	Professional		$718.57	$845.38	$4,990.22
United Facility/Professional Professional Modifier Low / Median / High Price $65.62 / $116.02 / $966.80	Professional		$65.62	$116.02	$966.80