Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,456.83 / $4,456.83 / $4,456.83	Facility		$4,456.83	$4,456.83	$4,456.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,802.55 / $4,011.15 / $5,259.06	Professional		$2,802.55	$4,011.15	$5,259.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,844.80 / $10,637.54 / $10,637.54	Facility		$5,844.80	$10,637.54	$10,637.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,497.21 / $5,435.66 / $7,189.10	Professional		$3,497.21	$5,435.66	$7,189.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $412.05 / $412.05 / $1,250.79	Facility		$412.05	$412.05	$1,250.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,165.54 / $4,303.28 / $15,616.41	Facility		$3,165.54	$4,303.28	$15,616.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,657.79 / $6,776.25 / $8,470.31	Professional		$3,657.79	$6,776.25	$8,470.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,117.23 / $4,456.83 / $6,685.25	Facility		$3,117.23	$4,456.83	$6,685.25
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $415.97 / $415.97 / $4,675.85	Professional		$415.97	$415.97	$4,675.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $441.97 / $4,456.83 / $6,305.50	Facility		$441.97	$4,456.83	$6,305.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,841.44 / $2,946.30 / $5,524.31	Professional		$1,841.44	$2,946.30	$5,524.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $55.00 / $3,896.53	Professional		$14.61	$55.00	$3,896.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,117.23 / $4,456.83 / $6,685.25	Facility		$3,117.23	$4,456.83	$6,685.25
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $415.97 / $415.97 / $4,675.85	Professional		$415.97	$415.97	$4,675.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $652.58 / $1,366.99 / $1,774.94	Professional		$652.58	$1,366.99	$1,774.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $3,165.54 / $6,305.50	Facility		$65.00	$3,165.54	$6,305.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $459.38 / $4,303.28 / $4,303.28	Professional		$459.38	$4,303.28	$4,303.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,799.91 / $2,911.36 / $5,398.58	Professional		$1,799.91	$2,911.36	$5,398.58