Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,199.85 / $4,199.85 / $4,199.85	Facility		$4,199.85	$4,199.85	$4,199.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,639.23 / $3,779.87 / $4,954.05	Professional		$2,639.23	$3,779.87	$4,954.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,346.70 / $11,550.99 / $11,550.99	Facility		$6,346.70	$11,550.99	$11,550.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,760.02 / $5,902.43 / $7,933.37	Professional		$4,760.02	$5,902.43	$7,933.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $447.71 / $456.58 / $1,358.24	Facility		$447.71	$456.58	$1,358.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,461.85 / $3,461.85 / $19,281.91	Facility		$3,461.85	$3,461.85	$19,281.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,942.57 / $7,357.50 / $9,196.87	Professional		$2,942.57	$7,357.50	$9,196.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,015.91 / $5,270.36 / $7,559.75	Facility		$2,015.91	$5,270.36	$7,559.75
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,216.29 / $4,216.29 / $7,616.04	Professional		$4,216.29	$4,216.29	$7,616.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,015.91 / $6,346.70 / $33,329.12	Facility		$2,015.91	$6,346.70	$33,329.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,646.53 / $3,640.21 / $7,800.45	Professional		$2,646.53	$3,640.21	$7,800.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $90.00 / $5,226.20	Professional		$50.00	$90.00	$5,226.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,015.91 / $5,375.77 / $7,559.75	Facility		$2,015.91	$5,375.77	$7,559.75
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4,216.29 / $4,216.29 / $7,616.04	Professional		$4,216.29	$4,216.29	$7,616.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $709.07 / $1,485.31 / $1,928.57	Professional		$709.07	$1,485.31	$1,928.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,461.85 / $11,997.02 / $33,329.12	Facility		$3,461.85	$11,997.02	$33,329.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $499.13 / $3,461.85 / $3,461.85	Professional		$499.13	$3,461.85	$3,461.85
United Facility/Professional Professional Modifier Low / Median / High Price $2,466.32 / $3,640.21 / $6,346.70	Professional		$2,466.32	$3,640.21	$6,346.70