Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,651.53 / $2,651.53 / $2,651.53	Facility		$2,651.53	$2,651.53	$2,651.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,697.31 / $2,445.98 / $3,184.83	Professional		$1,697.31	$2,445.98	$3,184.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,310.70 / $6,025.47 / $6,025.47	Facility		$3,310.70	$6,025.47	$6,025.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,655.12 / $3,078.95 / $4,138.37	Professional		$2,655.12	$3,078.95	$4,138.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $233.40 / $233.40 / $708.49	Facility		$233.40	$233.40	$708.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,254.90 / $2,254.90 / $9,200.44	Facility		$2,254.90	$2,254.90	$9,200.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,916.67 / $3,993.75 / $4,992.18	Professional		$1,916.67	$3,993.75	$4,992.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $228.98 / $397.28 / $3,977.30	Facility		$228.98	$397.28	$3,977.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $269.39 / $269.39 / $397.28	Professional		$269.39	$269.39	$397.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $536.16 / $4,083.65	Facility		$80.00	$536.16	$4,083.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,165.68 / $1,885.52 / $3,361.64	Professional		$1,165.68	$1,885.52	$3,361.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $55.00 / $1,715.87	Professional		$6.27	$55.00	$1,715.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $228.98 / $2,289.84 / $3,977.30	Facility		$228.98	$2,289.84	$3,977.30
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $269.39 / $269.39 / $397.28	Professional		$269.39	$269.39	$397.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $369.64 / $746.20 / $968.89	Professional		$369.64	$746.20	$968.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $2,254.90 / $4,083.65	Facility		$65.00	$2,254.90	$4,083.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $267.70 / $2,254.90 / $2,254.90	Professional		$267.70	$2,254.90	$2,254.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.50 / $1,826.72 / $3,292.10	Professional		$1,071.50	$1,826.72	$3,292.10