Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,268.33 / $1,268.33 / $1,268.33	Facility		$1,268.33	$1,268.33	$1,268.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.79 / $1,141.50 / $1,386.08	Professional		$776.79	$1,141.50	$1,386.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,903.60 / $2,093.96 / $3,464.55	Facility		$1,903.60	$2,093.96	$3,464.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,294.23 / $1,770.35 / $2,341.42	Professional		$1,294.23	$1,770.35	$2,341.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $136.94 / $407.37 / $407.37	Facility		$136.94	$407.37	$407.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.63 / $5,680.00 / $7,949.52	Facility		$107.63	$5,680.00	$7,949.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $144.13 / $2,756.25	Professional		$91.49	$144.13	$2,756.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $114.22 / $521.10 / $1,902.50	Facility		$114.22	$521.10	$1,902.50
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $108.99 / $181.32 / $228.43	Professional		$108.99	$181.32	$228.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.22 / $218.91 / $1,902.50	Facility		$114.22	$218.91	$1,902.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.51 / $136.24 / $932.93	Professional		$88.51	$136.24	$932.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $6.35 / $70.00	Professional		$3.81	$6.35	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $122.62 / $521.10 / $1,902.50	Facility		$122.62	$521.10	$1,902.50
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $108.99 / $181.32 / $228.43	Professional		$108.99	$181.32	$228.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $207.59 / $380.99 / $494.69	Professional		$207.59	$380.99	$494.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $80.00 / $107.63	Facility		$65.00	$80.00	$107.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $107.63 / $144.13	Professional		$91.49	$107.63	$144.13
United Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $126.62 / $932.93	Professional		$75.84	$126.62	$932.93