Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,360.06 / $6,360.06 / $6,360.06	Facility		$6,360.06	$6,360.06	$6,360.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,016.27 / $5,724.05 / $7,522.74	Professional		$4,016.27	$5,724.05	$7,522.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,545.70 / $17,373.16 / $17,373.16	Facility		$9,545.70	$17,373.16	$17,373.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,059.55 / $8,877.50 / $11,741.21	Professional		$5,059.55	$8,877.50	$11,741.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $686.72 / $686.72 / $2,042.78	Facility		$686.72	$686.72	$2,042.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,969.00 / $3,969.00 / $25,654.89	Facility		$3,969.00	$3,969.00	$25,654.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,373.65 / $11,066.25 / $13,832.81	Professional		$3,373.65	$11,066.25	$13,832.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,593.36 / $6,360.06 / $9,540.09	Facility		$3,593.36	$6,360.06	$9,540.09
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $422.75 / $422.75 / $7,636.56	Professional		$422.75	$422.75	$7,636.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $543.36 / $6,408.42 / $7,636.56	Facility		$543.36	$6,408.42	$7,636.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,287.12 / $3,174.84 / $7,087.88	Professional		$2,287.12	$3,174.84	$7,087.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.86 / $55.00 / $6,363.80	Professional		$23.86	$55.00	$6,363.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,593.36 / $6,360.06 / $9,540.09	Facility		$3,593.36	$6,360.06	$9,540.09
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $422.75 / $422.75 / $7,636.56	Professional		$422.75	$422.75	$7,636.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,072.03 / $1,908.90 / $2,478.56	Professional		$1,072.03	$1,908.90	$2,478.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $4,501.84 / $6,408.42	Facility		$65.00	$4,501.84	$6,408.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $674.65 / $3,969.00 / $3,969.00	Professional		$674.65	$3,969.00	$3,969.00
United Facility/Professional Facility Modifier Low / Median / High Price $321.00 / $635.21 / $4,051.28	Facility		$321.00	$635.21	$4,051.28
United Facility/Professional Professional Modifier Low / Median / High Price $2,112.98 / $3,174.84 / $6,363.80	Professional		$2,112.98	$3,174.84	$6,363.80