Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,521.52 / $8,521.52 / $8,521.52	Facility		$8,521.52	$8,521.52	$8,521.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,357.95 / $7,669.37 / $10,054.79	Professional		$5,357.95	$7,669.37	$10,054.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,445.10 / $20,830.08 / $20,830.08	Facility		$11,445.10	$20,830.08	$20,830.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,647.70 / $10,643.94 / $14,306.37	Professional		$6,647.70	$10,643.94	$14,306.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $806.86 / $806.86 / $2,449.25	Facility		$806.86	$806.86	$2,449.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,938.13 / $8,391.94 / $30,584.01	Facility		$5,938.13	$8,391.94	$30,584.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,133.15 / $13,267.50 / $16,584.38	Professional		$7,133.15	$13,267.50	$16,584.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6,104.06 / $8,521.52 / $12,782.28	Facility		$6,104.06	$8,521.52	$12,782.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $759.86 / $759.86 / $9,156.08	Professional		$759.86	$759.86	$9,156.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $807.36 / $8,521.52 / $11,518.64	Facility		$807.36	$8,521.52	$11,518.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,520.24 / $5,451.92 / $10,560.71	Professional		$3,520.24	$5,451.92	$10,560.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $55.00 / $7,630.07	Professional		$28.61	$55.00	$7,630.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6,104.06 / $8,521.52 / $12,782.28	Facility		$6,104.06	$8,521.52	$12,782.28
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $759.86 / $759.86 / $9,156.08	Professional		$759.86	$759.86	$9,156.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,277.84 / $2,676.40 / $3,475.11	Professional		$1,277.84	$2,676.40	$3,475.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $5,938.13 / $11,518.64	Facility		$65.00	$5,938.13	$11,518.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $899.52 / $8,391.94 / $8,391.94	Professional		$899.52	$8,391.94	$8,391.94
United Facility/Professional Professional Modifier Low / Median / High Price $3,284.61 / $5,451.92 / $9,534.00	Professional		$3,284.61	$5,451.92	$9,534.00