Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,768.82 / $4,768.82 / $4,768.82	Facility		$4,768.82	$4,768.82	$4,768.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,011.32 / $4,291.93 / $5,640.39	Professional		$3,011.32	$4,291.93	$5,640.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,157.50 / $13,026.65 / $13,026.65	Facility		$7,157.50	$13,026.65	$13,026.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,969.71 / $6,656.48 / $8,946.87	Professional		$4,969.71	$6,656.48	$8,946.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $514.91 / $571.66 / $1,700.53	Facility		$514.91	$571.66	$1,700.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,106.14 / $5,106.14 / $21,862.40	Facility		$5,106.14	$5,106.14	$21,862.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,340.22 / $8,298.75 / $10,373.44	Professional		$4,340.22	$8,298.75	$10,373.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $620.02 / $2,251.00 / $7,153.23	Facility		$620.02	$2,251.00	$7,153.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $455.00 / $455.00 / $953.57	Professional		$455.00	$455.00	$953.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $635.71 / $5,806.96 / $33,203.46	Facility		$635.71	$5,806.96	$33,203.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,091.96 / $2,764.42 / $5,687.50	Professional		$2,091.96	$2,764.42	$5,687.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $55.00 / $4,836.52	Professional		$8.77	$55.00	$4,836.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $635.71 / $2,251.00 / $7,153.23	Facility		$635.71	$2,251.00	$7,153.23
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $455.00 / $455.00 / $953.57	Professional		$455.00	$455.00	$953.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $803.82 / $1,479.79 / $1,921.40	Professional		$803.82	$1,479.79	$1,921.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,150.04 / $11,951.78 / $33,203.46	Facility		$4,150.04	$11,951.78	$33,203.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $560.27 / $5,106.14 / $5,106.14	Professional		$560.27	$5,106.14	$5,106.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,968.56 / $2,684.40 / $5,687.50	Professional		$1,968.56	$2,684.40	$5,687.50