Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,169.78 / $5,169.78 / $5,169.78	Facility		$5,169.78	$5,169.78	$5,169.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,248.72 / $4,652.80 / $6,098.04	Professional		$3,248.72	$4,652.80	$6,098.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,774.00 / $14,148.68 / $14,148.68	Facility		$7,774.00	$14,148.68	$14,148.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,723.24 / $7,229.82 / $9,717.50	Professional		$5,723.24	$7,229.82	$9,717.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $552.02 / $559.27 / $1,663.64	Facility		$552.02	$559.27	$1,663.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,775.22 / $4,775.22 / $23,746.56	Facility		$4,775.22	$4,775.22	$23,746.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,058.94 / $9,011.25 / $11,264.06	Professional		$4,058.94	$9,011.25	$11,264.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,469.31 / $6,455.70 / $9,305.60	Facility		$2,469.31	$6,455.70	$9,305.60
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5,164.56 / $5,164.56 / $9,328.79	Professional		$5,164.56	$5,164.56	$9,328.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,469.31 / $7,774.00 / $41,037.44	Facility		$2,469.31	$7,774.00	$41,037.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,241.76 / $4,480.84 / $9,601.79	Professional		$3,241.76	$4,480.84	$9,601.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $65.00	Professional		$50.00	$58.40	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,469.31 / $6,584.81 / $9,305.60	Facility		$2,469.31	$6,584.81	$9,305.60
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5,164.56 / $5,164.56 / $9,328.79	Professional		$5,164.56	$5,164.56	$9,328.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $873.06 / $1,829.23 / $2,375.12	Professional		$873.06	$1,829.23	$2,375.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,775.22 / $14,771.70 / $41,037.44	Facility		$4,775.22	$14,771.70	$41,037.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $615.41 / $4,775.22 / $4,775.22	Professional		$615.41	$4,775.22	$4,775.22
United Facility/Professional Professional Modifier Low / Median / High Price $3,097.10 / $4,480.84 / $7,774.00	Professional		$3,097.10	$4,480.84	$7,774.00