Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,611.44 / $3,611.44 / $3,611.44	Facility		$3,611.44	$3,611.44	$3,611.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,337.59 / $3,412.21 / $4,386.51	Professional		$2,337.59	$3,412.21	$4,386.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,602.30 / $8,376.19 / $8,376.19	Facility		$4,602.30	$8,376.19	$8,376.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,959.91 / $4,280.14 / $5,752.87	Professional		$2,959.91	$4,280.14	$5,752.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $324.45 / $324.45 / $984.89	Facility		$324.45	$324.45	$984.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,673.00 / $2,673.00 / $13,264.49	Facility		$2,673.00	$2,673.00	$13,264.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,272.05 / $5,756.25 / $7,195.31	Professional		$2,272.05	$5,756.25	$7,195.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $287.62 / $3,014.56 / $5,417.16	Facility		$287.62	$3,014.56	$5,417.16
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $354.66 / $354.66 / $552.28	Professional		$354.66	$354.66	$552.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $287.62 / $3,611.44 / $5,376.08	Facility		$287.62	$3,611.44	$5,376.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,534.59 / $2,482.36 / $4,578.62	Professional		$1,534.59	$2,482.36	$4,578.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $55.00 / $2,458.13	Professional		$8.99	$55.00	$2,458.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $287.62 / $3,014.56 / $5,417.16	Facility		$287.62	$3,014.56	$5,417.16
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $354.66 / $354.66 / $552.28	Professional		$354.66	$354.66	$552.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $513.84 / $1,068.82 / $1,387.79	Professional		$513.84	$1,068.82	$1,387.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $4,154.41 / $5,376.08	Facility		$65.00	$4,154.41	$5,376.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $378.53 / $2,673.00 / $3,214.80	Professional		$378.53	$2,673.00	$3,214.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,533.15 / $2,462.64 / $4,433.20	Professional		$1,533.15	$2,462.64	$4,433.20