Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,495.50 / $2,495.50 / $2,495.50	Facility		$2,495.50	$2,495.50	$2,495.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,605.85 / $2,366.46 / $3,013.29	Professional		$1,605.85	$2,366.46	$3,013.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,165.20 / $5,760.66 / $5,760.66	Facility		$3,165.20	$5,760.66	$5,760.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,583.84 / $2,943.64 / $3,956.50	Professional		$2,583.84	$2,943.64	$3,956.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $223.14 / $223.14 / $677.35	Facility		$223.14	$223.14	$677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,253.42 / $2,416.31 / $9,182.41	Facility		$2,253.42	$2,416.31	$9,182.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,053.86 / $3,982.50 / $4,978.13	Professional		$2,053.86	$3,982.50	$4,978.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $209.97 / $379.82 / $3,743.25	Facility		$209.97	$379.82	$3,743.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $247.02 / $247.02 / $379.82	Professional		$247.02	$247.02	$379.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $503.83 / $3,744.63	Facility		$80.00	$503.83	$3,744.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,068.88 / $1,729.08 / $3,071.51	Professional		$1,068.88	$1,729.08	$3,071.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $55.00 / $1,723.80	Professional		$6.30	$55.00	$1,723.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $209.97 / $2,099.67 / $3,743.25	Facility		$209.97	$2,099.67	$3,743.25
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $247.02 / $247.02 / $379.82	Professional		$247.02	$247.02	$379.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $353.41 / $732.01 / $950.46	Professional		$353.41	$732.01	$950.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $2,253.42 / $3,744.63	Facility		$65.00	$2,253.42	$3,744.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $2,416.31 / $2,416.31	Professional		$257.99	$2,416.31	$2,416.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.84 / $1,729.08 / $2,988.60	Professional		$1,023.84	$1,729.08	$2,988.60