Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,294.72 / $1,294.72 / $1,294.72	Facility		$1,294.72	$1,294.72	$1,294.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.90 / $1,165.25 / $1,415.20	Professional		$792.90	$1,165.25	$1,415.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,943.20 / $2,137.52 / $3,536.62	Facility		$1,943.20	$2,137.52	$3,536.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,321.25 / $1,807.18 / $2,390.13	Professional		$1,321.25	$1,807.18	$2,390.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.80 / $415.84 / $415.84	Facility		$139.80	$415.84	$415.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.87 / $5,800.00 / $8,117.47	Facility		$109.87	$5,800.00	$8,117.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $147.10 / $2,817.19	Professional		$93.39	$147.10	$2,817.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $116.59 / $532.04 / $1,942.08	Facility		$116.59	$532.04	$1,942.08
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $111.27 / $185.11 / $233.18	Professional		$111.27	$185.11	$233.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.59 / $223.47 / $1,942.08	Facility		$116.59	$223.47	$1,942.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.35 / $139.09 / $952.35	Professional		$90.35	$139.09	$952.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $6.48 / $70.00	Professional		$3.88	$6.48	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $125.18 / $532.04 / $1,942.08	Facility		$125.18	$532.04	$1,942.08
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $111.27 / $185.11 / $233.18	Professional		$111.27	$185.11	$233.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $211.89 / $388.88 / $504.93	Professional		$211.89	$388.88	$504.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $80.00 / $109.87	Facility		$65.00	$80.00	$109.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $109.87 / $147.10	Professional		$93.39	$109.87	$147.10
United Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $129.26 / $914.90	Professional		$77.42	$129.26	$914.90