Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,557.75 / $3,557.75 / $3,557.75	Facility		$3,557.75	$3,557.75	$3,557.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,175.34 / $3,138.41 / $3,864.00	Professional		$2,175.34	$3,138.41	$3,864.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,339.80 / $5,873.78 / $9,718.44	Facility		$5,339.80	$5,873.78	$9,718.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,618.38 / $4,966.01 / $6,567.95	Professional		$4,618.38	$4,966.01	$6,567.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $384.14 / $1,142.72 / $1,142.72	Facility		$384.14	$1,142.72	$1,142.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,066.48 / $16,437.80 / $25,216.00	Facility		$14,066.48	$16,437.80	$25,216.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.35 / $6,067.50 / $7,584.38	Professional		$248.35	$6,067.50	$7,584.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $320.83 / $1,463.85 / $5,336.63	Facility		$320.83	$1,463.85	$5,336.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $306.17 / $525.34 / $640.78	Professional		$306.17	$525.34	$640.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $320.39 / $640.78 / $5,336.63	Facility		$320.39	$640.78	$5,336.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $248.27 / $382.18 / $2,620.65	Professional		$248.27	$382.18	$2,620.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $17.80 / $70.00	Professional		$10.68	$17.80	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $343.96 / $1,463.85 / $5,336.63	Facility		$343.96	$1,463.85	$5,336.63
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $306.17 / $525.34 / $640.78	Professional		$306.17	$525.34	$640.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $582.80 / $1,069.60 / $1,388.82	Professional		$582.80	$1,069.60	$1,388.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $80.00 / $5,250.00	Facility		$65.00	$80.00	$5,250.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $248.35 / $248.35 / $389.53	Professional		$248.35	$248.35	$389.53
United Facility/Professional Professional Modifier Low / Median / High Price $226.76 / $355.19 / $2,517.41	Professional		$226.76	$355.19	$2,517.41