Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,955.91 / $3,955.91 / $3,955.91	Facility		$3,955.91	$3,955.91	$3,955.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,485.91 / $3,560.32 / $4,666.22	Professional		$2,485.91	$3,560.32	$4,666.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,967.30 / $10,860.49 / $10,860.49	Facility		$5,967.30	$10,860.49	$10,860.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,393.09 / $5,549.59 / $7,459.12	Professional		$4,393.09	$5,549.59	$7,459.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $421.97 / $429.29 / $1,277.05	Facility		$421.97	$429.29	$1,277.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,642.21 / $1,642.21 / $15,994.88	Facility		$1,642.21	$1,642.21	$15,994.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,395.88 / $6,918.75 / $8,648.44	Professional		$1,395.88	$6,918.75	$8,648.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,895.41 / $3,955.91 / $7,120.64	Facility		$1,895.41	$3,955.91	$7,120.64
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,964.26 / $3,964.26 / $7,160.76	Professional		$3,964.26	$3,964.26	$7,160.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,895.41 / $5,967.30 / $31,412.20	Facility		$1,895.41	$5,967.30	$31,412.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,488.33 / $3,428.74 / $7,347.30	Professional		$2,488.33	$3,428.74	$7,347.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $90.00 / $6,241.70	Professional		$50.00	$90.00	$6,241.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,895.41 / $4,459.79 / $7,120.64	Facility		$1,895.41	$4,459.79	$7,120.64
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3,964.26 / $3,964.26 / $7,160.76	Professional		$3,964.26	$3,964.26	$7,160.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $668.28 / $1,400.12 / $1,817.96	Professional		$668.28	$1,400.12	$1,817.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,642.21 / $11,307.02 / $31,412.20	Facility		$1,642.21	$11,307.02	$31,412.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $470.42 / $1,642.21 / $1,642.21	Professional		$470.42	$1,642.21	$1,642.21
United Facility/Professional Professional Modifier Low / Median / High Price $2,449.10 / $3,428.74 / $5,967.30	Professional		$2,449.10	$3,428.74	$5,967.30