Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,385.97 / $3,385.97 / $3,385.97	Facility		$3,385.97	$3,385.97	$3,385.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,129.28 / $3,047.37 / $3,995.64	Professional		$2,129.28	$3,047.37	$3,995.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,375.39 / $7,963.23 / $7,963.23	Facility		$4,375.39	$7,963.23	$7,963.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,224.73 / $4,069.12 / $5,381.74	Professional		$3,224.73	$4,069.12	$5,381.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $308.45 / $308.45 / $936.34	Facility		$308.45	$308.45	$936.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,432.58 / $2,673.00 / $11,687.53	Facility		$2,432.58	$2,673.00	$11,687.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,272.05 / $5,073.75 / $6,342.19	Professional		$2,272.05	$5,073.75	$6,342.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,333.54 / $3,354.47 / $5,078.96	Facility		$2,333.54	$3,354.47	$5,078.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $324.58 / $324.58 / $3,500.32	Professional		$324.58	$324.58	$3,500.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $351.25 / $3,354.47 / $4,920.35	Facility		$351.25	$3,354.47	$4,920.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,404.49 / $2,271.84 / $4,292.76	Professional		$1,404.49	$2,271.84	$4,292.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $55.00 / $2,916.93	Professional		$10.93	$55.00	$2,916.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,333.54 / $3,354.47 / $5,078.96	Facility		$2,333.54	$3,354.47	$5,078.96
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $324.58 / $324.58 / $3,500.32	Professional		$324.58	$324.58	$3,500.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $488.51 / $1,023.07 / $1,328.39	Professional		$488.51	$1,023.07	$1,328.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $2,432.58 / $4,920.35	Facility		$65.00	$2,432.58	$4,920.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $343.88 / $2,673.00 / $2,673.00	Professional		$343.88	$2,673.00	$2,673.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,403.10 / $2,238.62 / $4,197.41	Professional		$1,403.10	$2,238.62	$4,197.41