Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,952.48 / $3,952.48 / $3,952.48	Facility		$3,952.48	$3,952.48	$3,952.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,571.41 / $3,755.49 / $4,825.26	Professional		$2,571.41	$3,755.49	$4,825.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,042.70 / $9,177.70 / $9,177.70	Facility		$5,042.70	$9,177.70	$9,177.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,182.33 / $4,689.71 / $6,202.52	Professional		$3,182.33	$4,689.71	$6,202.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $355.50 / $355.50 / $1,079.14	Facility		$355.50	$355.50	$1,079.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.00 / $2,187.00 / $14,661.22	Facility		$2,187.00	$2,187.00	$14,661.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,858.95 / $6,363.75 / $7,954.69	Professional		$1,858.95	$6,363.75	$7,954.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $329.30 / $3,293.04 / $5,928.72	Facility		$329.30	$3,293.04	$5,928.72
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $387.42 / $387.42 / $605.12	Professional		$387.42	$387.42	$605.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $329.30 / $3,952.48 / $5,872.68	Facility		$329.30	$3,952.48	$5,872.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,676.34 / $2,711.48 / $4,903.37	Professional		$1,676.34	$2,711.48	$4,903.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $55.00 / $2,501.22	Professional		$9.15	$55.00	$2,501.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $329.30 / $3,293.04 / $5,928.72	Facility		$329.30	$3,293.04	$5,928.72
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $387.42 / $387.42 / $605.12	Professional		$387.42	$387.42	$605.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $563.02 / $1,090.11 / $1,415.44	Professional		$563.02	$1,090.11	$1,415.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $2,187.00 / $5,872.68	Facility		$65.00	$2,187.00	$5,872.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $418.04 / $2,187.00 / $2,187.00	Professional		$418.04	$2,187.00	$2,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,674.66 / $2,711.48 / $4,759.00	Professional		$1,674.66	$2,711.48	$4,759.00