Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,024.70 / $3,024.70 / $3,024.70	Facility		$3,024.70	$3,024.70	$3,024.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,852.69 / $2,722.23 / $3,503.16	Professional		$1,852.69	$2,722.23	$3,503.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,539.70 / $8,262.25 / $8,262.25	Facility		$4,539.70	$8,262.25	$8,262.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.00 / $4,221.92 / $5,674.62	Professional		$2,691.00	$4,221.92	$5,674.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $326.58 / $326.58 / $971.50	Facility		$326.58	$326.58	$971.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,225.05 / $2,225.05 / $13,864.96	Facility		$2,225.05	$2,225.05	$13,864.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,891.29 / $5,261.25 / $6,576.56	Professional		$1,891.29	$5,261.25	$6,576.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $272.38 / $1,242.81 / $4,537.05	Facility		$272.38	$1,242.81	$4,537.05
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $259.94 / $259.94 / $544.76	Professional		$259.94	$259.94	$544.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $292.43 / $4,537.05 / $20,369.16	Facility		$292.43	$4,537.05	$20,369.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,194.21 / $1,815.88 / $3,763.90	Professional		$1,194.21	$1,815.88	$3,763.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $55.00 / $2,433.53	Professional		$5.93	$55.00	$2,433.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $272.38 / $1,242.81 / $4,537.05	Facility		$272.38	$1,242.81	$4,537.05
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $259.94 / $259.94 / $544.76	Professional		$259.94	$259.94	$544.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $509.83 / $907.91 / $1,178.84	Professional		$509.83	$907.91	$1,178.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $7,332.00 / $20,369.16	Facility		$65.00	$7,332.00	$20,369.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $343.68 / $2,225.05 / $2,225.05	Professional		$343.68	$2,225.05	$2,225.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,186.64 / $1,815.88 / $3,763.90	Professional		$1,186.64	$1,815.88	$3,763.90