Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,372.65 / $2,372.65 / $2,372.65	Facility		$2,372.65	$2,372.65	$2,372.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,484.14 / $2,232.66 / $2,785.14	Professional		$1,484.14	$2,232.66	$2,785.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,227.90 / $5,874.78 / $5,874.78	Facility		$3,227.90	$5,874.78	$5,874.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,893.62 / $3,001.95 / $4,034.87	Professional		$1,893.62	$3,001.95	$4,034.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $227.57 / $227.57 / $690.77	Facility		$227.57	$227.57	$690.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,032.02 / $2,387.48 / $9,209.45	Facility		$2,032.02	$2,387.48	$9,209.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,029.37 / $3,993.75 / $4,992.18	Professional		$2,029.37	$3,993.75	$4,992.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $175.21 / $1,752.08 / $3,558.98	Facility		$175.21	$1,752.08	$3,558.98
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $206.13 / $206.13 / $387.35	Professional		$206.13	$206.13	$387.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $451.70 / $3,558.98	Facility		$80.00	$451.70	$3,558.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $952.27 / $1,479.04 / $2,856.80	Professional		$952.27	$1,479.04	$2,856.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $55.00 / $1,651.53	Professional		$6.04	$55.00	$1,651.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $175.21 / $1,752.08 / $3,558.98	Facility		$175.21	$1,752.08	$3,558.98
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $206.13 / $206.13 / $387.35	Professional		$206.13	$206.13	$387.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $360.40 / $723.33 / $939.19	Professional		$360.40	$723.33	$939.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $80.00 / $2,576.60	Facility		$65.00	$80.00	$2,576.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $251.77 / $2,387.48 / $2,387.48	Professional		$251.77	$2,387.48	$2,387.48
United Facility/Professional Professional Modifier Low / Median / High Price $912.48 / $1,442.76 / $2,840.13	Professional		$912.48	$1,442.76	$2,840.13