Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,234.16 / $4,234.16 / $4,234.16	Facility		$4,234.16	$4,234.16	$4,234.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,662.41 / $3,810.74 / $4,996.17	Professional		$2,662.41	$3,810.74	$4,996.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,611.90 / $10,213.66 / $10,213.66	Facility		$5,611.90	$10,213.66	$10,213.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,357.90 / $5,219.07 / $6,902.63	Professional		$3,357.90	$5,219.07	$6,902.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $395.63 / $395.63 / $1,200.95	Facility		$395.63	$395.63	$1,200.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,982.34 / $4,124.25 / $14,994.64	Facility		$2,982.34	$4,124.25	$14,994.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,505.61 / $6,506.25 / $8,132.81	Professional		$3,505.61	$6,506.25	$8,132.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,993.02 / $4,234.16 / $6,351.24	Facility		$2,993.02	$4,234.16	$6,351.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $387.42 / $387.42 / $4,489.52	Professional		$387.42	$387.42	$4,489.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $411.63 / $4,234.16 / $5,872.68	Facility		$411.63	$4,234.16	$5,872.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,749.30 / $2,779.68 / $5,247.90	Professional		$1,749.30	$2,779.68	$5,247.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $55.00 / $3,741.27	Professional		$14.03	$55.00	$3,741.27
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,993.02 / $4,234.16 / $6,351.24	Facility		$2,993.02	$4,234.16	$6,351.24
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $387.42 / $387.42 / $4,489.52	Professional		$387.42	$387.42	$4,489.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $626.58 / $1,312.56 / $1,704.27	Professional		$626.58	$1,312.56	$1,704.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $2,982.34 / $5,872.68	Facility		$65.00	$2,982.34	$5,872.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $441.07 / $4,124.25 / $4,124.25	Professional		$441.07	$4,124.25	$4,124.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,674.66 / $2,798.88 / $5,049.30	Professional		$1,674.66	$2,798.88	$5,049.30