Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,584.88 / $5,584.88 / $5,584.88	Facility		$5,584.88	$5,584.88	$5,584.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,442.43 / $5,068.04 / $6,460.92	Professional		$3,442.43	$5,068.04	$6,460.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,044.50 / $14,640.99 / $14,640.99	Facility		$8,044.50	$14,640.99	$14,640.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,917.60 / $7,481.39 / $10,055.62	Professional		$3,917.60	$7,481.39	$10,055.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $567.12 / $567.12 / $1,721.52	Facility		$567.12	$567.12	$1,721.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,170.18 / $5,587.01 / $21,744.03	Facility		$4,170.18	$5,587.01	$21,744.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,748.96 / $9,435.00 / $11,793.75	Professional		$4,748.96	$9,435.00	$11,793.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $362.50 / $3,625.04 / $8,377.32	Facility		$362.50	$3,625.04	$8,377.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $426.47 / $426.47 / $965.34	Professional		$426.47	$426.47	$965.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $362.50 / $3,625.04 / $6,464.83	Facility		$362.50	$3,625.04	$6,464.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,073.23 / $3,059.92 / $6,534.42	Professional		$2,073.23	$3,059.92	$6,534.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.09 / $55.00 / $4,397.66	Professional		$16.09	$55.00	$4,397.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $362.50 / $3,625.04 / $8,377.32	Facility		$362.50	$3,625.04	$8,377.32
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $426.47 / $426.47 / $965.34	Professional		$426.47	$426.47	$965.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $898.17 / $1,669.10 / $2,167.21	Professional		$898.17	$1,669.10	$2,167.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $5,587.01 / $6,464.83	Facility		$65.00	$5,587.01	$6,464.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $615.05 / $5,587.01 / $5,587.01	Professional		$615.05	$5,587.01	$5,587.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,845.36 / $2,984.84 / $6,002.67	Professional		$1,845.36	$2,984.84	$6,002.67