Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,176.21 / $1,176.21 / $1,176.21	Facility		$1,176.21	$1,176.21	$1,176.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.35 / $1,058.58 / $1,182.51	Professional		$631.35	$1,058.58	$1,182.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,765.40 / $1,941.94 / $3,213.03	Facility		$1,765.40	$1,941.94	$3,213.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,526.89 / $1,641.82 / $2,171.44	Professional		$1,526.89	$1,641.82	$2,171.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.00 / $377.80 / $377.80	Facility		$127.00	$377.80	$377.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.82 / $5,270.00 / $7,375.70	Facility		$99.82	$5,270.00	$7,375.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $121.19 / $2,559.38	Professional		$84.85	$121.19	$2,559.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $105.93 / $483.26 / $1,764.32	Facility		$105.93	$483.26	$1,764.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $101.07 / $176.54 / $211.85	Professional		$101.07	$176.54	$211.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.93 / $211.85 / $2,074.00	Facility		$105.93	$211.85	$2,074.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $126.34 / $865.13	Professional		$82.08	$126.34	$865.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $58.40 / $1,447.62	Professional		$3.61	$58.40	$1,447.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $113.71 / $483.26 / $1,764.32	Facility		$113.71	$483.26	$1,764.32
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $101.07 / $176.54 / $211.85	Professional		$101.07	$176.54	$211.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $192.55 / $353.38 / $458.84	Professional		$192.55	$353.38	$458.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $80.00 / $2,074.00	Facility		$65.00	$80.00	$2,074.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $99.82 / $121.19	Professional		$84.85	$99.82	$121.19
United Facility/Professional Professional Modifier Low / Median / High Price $70.33 / $117.43 / $831.11	Professional		$70.33	$117.43	$831.11