Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,504.68 / $6,504.68 / $6,504.68	Facility		$6,504.68	$6,504.68	$6,504.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,950.97 / $5,835.12 / $7,415.19	Professional		$3,950.97	$5,835.12	$7,415.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,332.50 / $16,985.15 / $16,985.15	Facility		$9,332.50	$16,985.15	$16,985.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,607.39 / $8,679.23 / $11,665.62	Professional		$4,607.39	$8,679.23	$11,665.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $657.92 / $657.92 / $1,997.16	Facility		$657.92	$657.92	$1,997.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,929.30 / $6,410.99 / $24,816.84	Facility		$4,929.30	$6,410.99	$24,816.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,449.34 / $10,770.00 / $13,462.50	Professional		$5,449.34	$10,770.00	$13,462.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $426.31 / $4,391.01 / $9,757.02	Facility		$426.31	$4,391.01	$9,757.02
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $501.54 / $501.54 / $1,119.90	Professional		$501.54	$501.54	$1,119.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.31 / $7,449.16 / $42,593.27	Facility		$426.31	$7,449.16	$42,593.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,370.37 / $3,598.72 / $7,470.92	Professional		$2,370.37	$3,598.72	$7,470.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $55.00 / $5,101.76	Professional		$18.66	$55.00	$5,101.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $426.31 / $4,391.01 / $9,757.02	Facility		$426.31	$4,391.01	$9,757.02
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $501.54 / $501.54 / $1,119.90	Professional		$501.54	$501.54	$1,119.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,041.97 / $1,897.85 / $2,464.23	Professional		$1,041.97	$1,897.85	$2,464.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $14,464.60 / $42,593.27	Facility		$65.00	$14,464.60	$42,593.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $698.64 / $6,410.99 / $6,410.99	Professional		$698.64	$6,410.99	$6,410.99
United Facility/Professional Professional Modifier Low / Median / High Price $2,370.37 / $4,182.84 / $7,111.10	Professional		$2,370.37	$4,182.84	$7,111.10