Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,731.43 / $7,731.43 / $7,731.43	Facility		$7,731.43	$7,731.43	$7,731.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,529.75 / $6,868.76 / $8,501.67	Professional		$4,529.75	$6,868.76	$8,501.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,423.10 / $20,790.04 / $20,790.04	Facility		$11,423.10	$20,790.04	$20,790.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,076.80 / $10,623.48 / $14,050.41	Professional		$5,076.80	$10,623.48	$14,050.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $805.32 / $805.32 / $2,444.54	Facility		$805.32	$805.32	$2,444.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,451.66 / $7,860.06 / $29,980.26	Facility		$5,451.66	$7,860.06	$29,980.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,681.05 / $13,008.75 / $16,260.94	Professional		$6,681.05	$13,008.75	$16,260.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $469.76 / $4,697.60 / $11,597.15	Facility		$469.76	$4,697.60	$11,597.15
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $552.66 / $552.66 / $1,370.77	Professional		$552.66	$552.66	$1,370.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $469.76 / $4,697.60 / $8,377.54	Facility		$469.76	$4,697.60	$8,377.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,970.07 / $4,158.09 / $9,248.94	Professional		$2,970.07	$4,158.09	$9,248.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $55.00 / $5,853.59	Professional		$21.41	$55.00	$5,853.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $469.76 / $4,697.60 / $11,597.15	Facility		$469.76	$4,697.60	$11,597.15
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $552.66 / $552.66 / $1,370.77	Professional		$552.66	$552.66	$1,370.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,275.40 / $2,391.64 / $3,105.37	Professional		$1,275.40	$2,391.64	$3,105.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $5,451.66 / $8,377.54	Facility		$65.00	$5,451.66	$8,377.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $814.44 / $7,860.06 / $7,860.06	Professional		$814.44	$7,860.06	$7,860.06
United Facility/Professional Professional Modifier Low / Median / High Price $2,970.07 / $4,158.09 / $8,910.20	Professional		$2,970.07	$4,158.09	$8,910.20