Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,741.53 / $1,741.53 / $1,741.53	Facility		$1,741.53	$1,741.53	$1,741.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,099.74 / $1,567.38 / $2,059.92	Professional		$1,099.74	$1,567.38	$2,059.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,613.90 / $4,757.30 / $4,757.30	Facility		$2,613.90	$4,757.30	$4,757.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,924.11 / $2,430.92 / $3,267.37	Professional		$1,924.11	$2,430.92	$3,267.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $188.05 / $188.05 / $559.37	Facility		$188.05	$188.05	$559.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,450.41 / $1,450.41 / $7,987.20	Facility		$1,450.41	$1,450.41	$7,987.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,232.84 / $3,030.00 / $3,787.50	Professional		$1,232.84	$3,030.00	$3,787.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $209.11 / $630.20 / $2,612.30	Facility		$209.11	$630.20	$2,612.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $313.67 / $313.67 / $313.67	Professional		$313.67	$313.67	$313.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $209.11 / $2,051.12 / $11,728.00	Facility		$209.11	$2,051.12	$11,728.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $916.68 / $1,230.67 / $2,177.04	Professional		$916.68	$1,230.67	$2,177.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $65.00	Professional		$50.00	$58.40	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $209.11 / $630.20 / $2,612.30	Facility		$209.11	$630.20	$2,612.30
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $313.67 / $313.67 / $313.67	Professional		$313.67	$313.67	$313.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $293.55 / $522.97 / $679.04	Professional		$293.55	$522.97	$679.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $4,221.58 / $11,728.00	Facility		$65.00	$4,221.58	$11,728.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $184.74 / $1,450.41 / $1,450.41	Professional		$184.74	$1,450.41	$1,450.41
United Facility/Professional Professional Modifier Low / Median / High Price $886.81 / $1,230.67 / $2,051.12	Professional		$886.81	$1,230.67	$2,051.12