Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,575.36 / $5,575.36 / $5,575.36	Facility		$5,575.36	$5,575.36	$5,575.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,505.56 / $5,017.82 / $6,578.55	Professional		$3,505.56	$5,017.82	$6,578.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,454.50 / $13,567.19 / $13,567.19	Facility		$7,454.50	$13,567.19	$13,567.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,388.00 / $6,932.69 / $9,318.12	Professional		$4,388.00	$6,932.69	$9,318.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $525.53 / $525.53 / $1,595.26	Facility		$525.53	$525.53	$1,595.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,899.36 / $5,470.13 / $19,914.75	Facility		$3,899.36	$5,470.13	$19,914.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,649.60 / $8,643.75 / $10,804.69	Professional		$4,649.60	$8,643.75	$10,804.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,975.74 / $5,575.36 / $8,363.04	Facility		$3,975.74	$5,575.36	$8,363.04
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $501.54 / $501.54 / $5,963.60	Professional		$501.54	$501.54	$5,963.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $532.89 / $5,575.36 / $7,602.76	Facility		$532.89	$5,575.36	$7,602.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,303.23 / $3,598.72 / $6,909.71	Professional		$2,303.23	$3,598.72	$6,909.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $55.00 / $4,969.67	Professional		$18.63	$55.00	$4,969.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,975.74 / $5,575.36 / $8,363.04	Facility		$3,975.74	$5,575.36	$8,363.04
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $501.54 / $501.54 / $5,963.60	Professional		$501.54	$501.54	$5,963.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $832.30 / $1,743.25 / $2,263.48	Professional		$832.30	$1,743.25	$2,263.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $3,899.36 / $7,602.76	Facility		$65.00	$3,899.36	$7,602.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $585.88 / $5,470.13 / $5,470.13	Professional		$585.88	$5,470.13	$5,470.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,929.97 / $3,510.40 / $6,909.71	Professional		$1,929.97	$3,510.40	$6,909.71