Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,649.92 / $2,649.92 / $2,649.92	Facility		$2,649.92	$2,649.92	$2,649.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,686.95 / $2,429.78 / $3,165.39	Professional		$1,686.95	$2,429.78	$3,165.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,343.70 / $6,085.53 / $6,085.53	Facility		$3,343.70	$6,085.53	$6,085.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,077.48 / $3,109.64 / $4,112.75	Professional		$2,077.48	$3,109.64	$4,112.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $235.73 / $235.73 / $715.55	Facility		$235.73	$235.73	$715.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,362.19 / $2,592.00 / $9,200.44	Facility		$2,362.19	$2,592.00	$9,200.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,203.19 / $3,993.75 / $4,992.18	Professional		$2,203.19	$3,993.75	$4,992.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $224.92 / $2,249.19 / $3,974.88	Facility		$224.92	$2,249.19	$3,974.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $264.62 / $264.62 / $401.24	Professional		$264.62	$264.62	$401.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $530.57 / $3,974.88	Facility		$80.00	$530.57	$3,974.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,145.02 / $1,852.04 / $3,350.21	Professional		$1,145.02	$1,852.04	$3,350.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $55.00 / $1,827.88	Professional		$6.69	$55.00	$1,827.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $224.92 / $2,249.19 / $3,974.88	Facility		$224.92	$2,249.19	$3,974.88
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $264.62 / $264.62 / $401.24	Professional		$264.62	$264.62	$401.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $373.32 / $746.99 / $969.92	Professional		$373.32	$746.99	$969.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $80.00 / $3,307.70	Facility		$65.00	$80.00	$3,307.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $267.95 / $2,592.00 / $2,592.00	Professional		$267.95	$2,592.00	$2,592.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,145.02 / $1,852.04 / $3,215.60	Professional		$1,145.02	$1,852.04	$3,215.60