Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,250.67 / $7,250.67 / $7,250.67	Facility		$7,250.67	$7,250.67	$7,250.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,432.33 / $6,573.74 / $8,319.33	Professional		$4,432.33	$6,573.74	$8,319.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,794.70 / $19,646.34 / $19,646.34	Facility		$10,794.70	$19,646.34	$19,646.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,662.05 / $10,039.07 / $13,277.48	Professional		$4,662.05	$10,039.07	$13,277.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $761.02 / $761.02 / $2,310.07	Facility		$761.02	$761.02	$2,310.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,180.63 / $7,608.68 / $29,133.21	Facility		$5,180.63	$7,608.68	$29,133.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,467.38 / $12,641.25 / $15,801.56	Professional		$6,467.38	$12,641.25	$15,801.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $431.37 / $4,313.68 / $10,876.01	Facility		$431.37	$4,313.68	$10,876.01
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $507.50 / $507.50 / $1,295.35	Professional		$507.50	$507.50	$1,295.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $431.37 / $4,313.68 / $7,692.94	Facility		$431.37	$4,313.68	$7,692.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,797.77 / $3,916.87 / $8,673.31	Professional		$2,797.77	$3,916.87	$8,673.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $55.00 / $5,493.50	Professional		$20.10	$55.00	$5,493.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $431.37 / $4,313.68 / $10,876.01	Facility		$431.37	$4,313.68	$10,876.01
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $507.50 / $507.50 / $1,295.35	Professional		$507.50	$507.50	$1,295.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,205.23 / $2,398.73 / $3,114.59	Professional		$1,205.23	$2,398.73	$3,114.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $5,180.63 / $7,692.94	Facility		$65.00	$5,180.63	$7,692.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $816.92 / $7,608.68 / $7,608.68	Professional		$816.92	$7,608.68	$7,608.68
United Facility/Professional Professional Modifier Low / Median / High Price $2,745.67 / $3,916.87 / $8,673.31	Professional		$2,745.67	$3,916.87	$8,673.31