Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,302.04 / $10,302.04 / $10,302.04	Facility		$10,302.04	$10,302.04	$10,302.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,505.56 / $9,271.84 / $11,773.76	Professional		$6,505.56	$9,271.84	$11,773.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,021.07 / $6,671.03 / $10,823.54	Professional		$6,021.07	$6,671.03	$10,823.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,112.34 / $3,308.91 / $3,308.91	Facility		$1,112.34	$3,308.91	$3,308.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41,550.64 / $48,555.21 / $74,484.94	Facility		$41,550.64	$48,555.21	$74,484.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,777.03 / $17,925.00 / $22,406.25	Professional		$10,777.03	$17,925.00	$22,406.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,546.22 / $10,302.04 / $18,543.66	Facility		$1,546.22	$10,302.04	$18,543.66
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,546.22 / $1,855.46 / $8,853.45	Professional		$1,546.22	$1,855.46	$8,853.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,546.22 / $12,133.67 / $69,378.71	Facility		$1,546.22	$12,133.67	$69,378.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,557.24 / $7,578.05 / $14,913.35	Professional		$5,557.24	$7,578.05	$14,913.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,546.22 / $10,302.04 / $18,543.66	Facility		$1,546.22	$10,302.04	$18,543.66
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1,546.22 / $1,855.46 / $8,853.45	Professional		$1,546.22	$1,855.46	$8,853.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,684.82 / $3,092.10 / $4,014.86	Professional		$1,684.82	$3,092.10	$4,014.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,108.58 / $24,973.30 / $69,378.71	Facility		$11,108.58	$24,973.30	$69,378.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,092.81 / $22,181.09 / $67,309.53	Professional		$1,092.81	$22,181.09	$67,309.53
United Facility/Professional Professional Modifier Low / Median / High Price $5,246.92 / $7,280.20 / $11,836.40	Professional		$5,246.92	$7,280.20	$11,836.40