Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,849.51 / $3,849.51 / $3,849.51	Facility		$3,849.51	$3,849.51	$3,849.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,419.10 / $3,464.56 / $4,540.77	Professional		$2,419.10	$3,464.56	$4,540.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,805.40 / $10,565.83 / $10,565.83	Facility		$5,805.40	$10,565.83	$10,565.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,316.60 / $5,399.02 / $7,140.64	Professional		$4,316.60	$5,399.02	$7,140.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $409.27 / $421.82 / $1,254.77	Facility		$409.27	$421.82	$1,254.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,282.89 / $3,282.89 / $17,623.04	Facility		$3,282.89	$3,282.89	$17,623.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,790.46 / $6,731.25 / $8,414.06	Professional		$2,790.46	$6,731.25	$8,414.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,862.41 / $4,869.05 / $6,929.12	Facility		$1,862.41	$4,869.05	$6,929.12
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,895.24 / $3,895.24 / $6,966.48	Professional		$3,895.24	$3,895.24	$6,966.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,862.41 / $5,805.40 / $30,467.00	Facility		$1,862.41	$5,805.40	$30,467.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,445.01 / $3,336.62 / $7,149.90	Professional		$2,445.01	$3,336.62	$7,149.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $90.00 / $4,790.30	Professional		$50.00	$90.00	$4,790.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,862.41 / $4,966.43 / $6,929.12	Facility		$1,862.41	$4,966.43	$6,929.12
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3,895.24 / $3,895.24 / $6,966.48	Professional		$3,895.24	$3,895.24	$6,966.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $648.19 / $1,357.52 / $1,762.65	Professional		$648.19	$1,357.52	$1,762.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,282.89 / $10,966.80 / $30,467.00	Facility		$3,282.89	$10,966.80	$30,467.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $456.28 / $3,282.89 / $3,282.89	Professional		$456.28	$3,282.89	$3,282.89
United Facility/Professional Professional Modifier Low / Median / High Price $2,254.56 / $3,166.10 / $5,834.40	Professional		$2,254.56	$3,166.10	$5,834.40