Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,114.71 / $6,114.71 / $6,114.71	Facility		$6,114.71	$6,114.71	$6,114.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,861.33 / $5,503.24 / $7,232.58	Professional		$3,861.33	$5,503.24	$7,232.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,177.50 / $16,703.05 / $16,703.05	Facility		$9,177.50	$16,703.05	$16,703.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,504.27 / $8,535.08 / $11,288.32	Professional		$4,504.27	$8,535.08	$11,288.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $660.23 / $660.23 / $1,963.99	Facility		$660.23	$660.23	$1,963.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,087.00 / $3,087.00 / $24,663.65	Facility		$3,087.00	$3,087.00	$24,663.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,623.95 / $10,638.75 / $13,298.44	Professional		$2,623.95	$10,638.75	$13,298.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,454.88 / $6,114.71 / $9,172.07	Facility		$3,454.88	$6,114.71	$9,172.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $406.46 / $406.46 / $7,342.01	Professional		$406.46	$406.46	$7,342.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $508.07 / $6,161.32 / $7,342.01	Facility		$508.07	$6,161.32	$7,342.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,199.01 / $3,052.36 / $6,814.51	Professional		$2,199.01	$3,052.36	$6,814.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.94 / $55.00 / $6,118.33	Professional		$22.94	$55.00	$6,118.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,454.88 / $6,114.71 / $9,172.07	Facility		$3,454.88	$6,114.71	$9,172.07
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $406.46 / $406.46 / $7,342.01	Professional		$406.46	$406.46	$7,342.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,030.68 / $1,835.54 / $2,383.31	Professional		$1,030.68	$1,835.54	$2,383.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $3,087.00 / $6,161.32	Facility		$65.00	$3,087.00	$6,161.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $648.63 / $3,087.00 / $3,087.00	Professional		$648.63	$3,087.00	$3,087.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,162.10 / $3,052.36 / $6,486.30	Professional		$2,162.10	$3,052.36	$6,486.30