Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,511.76 / $3,511.76 / $3,511.76	Facility		$3,511.76	$3,511.76	$3,511.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,208.42 / $3,160.58 / $4,144.05	Professional		$2,208.42	$3,160.58	$4,144.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,538.10 / $8,259.34 / $8,259.34	Facility		$4,538.10	$8,259.34	$8,259.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,715.41 / $4,220.43 / $5,672.62	Professional		$2,715.41	$4,220.43	$5,672.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $319.94 / $319.94 / $971.15	Facility		$319.94	$319.94	$971.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,522.88 / $3,349.85 / $12,129.08	Facility		$2,522.88	$3,349.85	$12,129.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,847.37 / $5,261.25 / $6,576.56	Professional		$2,847.37	$5,261.25	$6,576.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,420.32 / $3,479.21 / $5,267.64	Facility		$2,420.32	$3,479.21	$5,267.64
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $336.60 / $336.60 / $3,630.48	Professional		$336.60	$336.60	$3,630.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $357.64 / $3,479.21 / $5,102.45	Facility		$357.64	$3,479.21	$5,102.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,456.47 / $2,356.00 / $4,375.56	Professional		$1,456.47	$2,356.00	$4,375.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.34 / $55.00 / $3,025.40	Professional		$11.34	$55.00	$3,025.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,420.32 / $3,479.21 / $5,267.64	Facility		$2,420.32	$3,479.21	$5,267.64
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $336.60 / $336.60 / $3,630.48	Professional		$336.60	$336.60	$3,630.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $506.69 / $1,061.72 / $1,378.57	Professional		$506.69	$1,061.72	$1,378.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $2,522.88 / $5,102.45	Facility		$65.00	$2,522.88	$5,102.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $356.67 / $3,349.85 / $3,349.85	Professional		$356.67	$3,349.85	$3,349.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,456.47 / $2,321.76 / $4,205.14	Professional		$1,456.47	$2,321.76	$4,205.14