Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,965.57 / $3,965.57 / $3,965.57	Facility		$3,965.57	$3,965.57	$3,965.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,128.58 / $3,033.64 / $3,986.91	Professional		$2,128.58	$3,033.64	$3,986.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,951.90 / $10,832.46 / $10,832.46	Facility		$5,951.90	$10,832.46	$10,832.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,799.00 / $5,535.27 / $7,320.83	Professional		$3,799.00	$5,535.27	$7,320.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $428.18 / $428.18 / $1,273.71	Facility		$428.18	$428.18	$1,273.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,655.97 / $3,655.97 / $15,452.16	Facility		$3,655.97	$3,655.97	$15,452.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,107.57 / $5,865.00 / $7,331.25	Professional		$3,107.57	$5,865.00	$7,331.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $343.18 / $1,629.41 / $5,948.36	Facility		$343.18	$1,629.41	$5,948.36
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $714.23 / $714.23 / $1,886.83	Professional		$714.23	$714.23	$1,886.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $505.91 / $4,670.58 / $26,705.78	Facility		$505.91	$4,670.58	$26,705.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,565.57 / $2,380.76 / $4,780.47	Professional		$1,565.57	$2,380.76	$4,780.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $55.00 / $3,519.45	Professional		$7.71	$55.00	$3,519.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $357.11 / $2,238.27 / $5,948.36	Facility		$357.11	$2,238.27	$5,948.36
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $714.23 / $714.23 / $1,886.83	Professional		$714.23	$714.23	$1,886.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $668.43 / $1,190.30 / $1,545.52	Professional		$668.43	$1,190.30	$1,545.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,689.32 / $9,612.90 / $26,705.78	Facility		$2,689.32	$9,612.90	$26,705.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $408.57 / $3,655.97 / $3,655.97	Professional		$408.57	$3,655.97	$3,655.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,506.72 / $2,380.76 / $4,028.89	Professional		$1,506.72	$2,380.76	$4,028.89