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 $1,387.01 / $1,641.82 / $2,083.17	Professional		$1,387.01	$1,641.82	$2,083.17
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 $4,748.89 / $5,549.47 / $8,513.03	Facility		$4,748.89	$5,549.47	$8,513.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $2,047.50 / $2,559.38	Professional		$93.11	$2,047.50	$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 $50.00 / $58.40 / $90.00	Professional		$50.00	$58.40	$90.00
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 / $70.00 / $2,074.00	Facility		$65.00	$70.00	$2,074.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $109.54 / $121.19	Professional		$93.11	$109.54	$121.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.99 / $1,706.34 / $1,741.16	Professional		$1,479.99	$1,706.34	$1,741.16
United Facility/Professional Professional Modifier Low / Median / High Price $70.33 / $117.43 / $865.13	Professional		$70.33	$117.43	$865.13