Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,377.23 / $7,377.23 / $7,377.23	Facility		$7,377.23	$7,377.23	$7,377.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,658.57 / $6,639.51 / $8,725.86	Professional		$4,658.57	$6,639.51	$8,725.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,072.40 / $20,151.77 / $20,151.77	Facility		$11,072.40	$20,151.77	$20,151.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,434.25 / $10,297.33 / $13,619.05	Professional		$5,434.25	$10,297.33	$13,619.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $796.55 / $796.55 / $2,369.48	Facility		$796.55	$796.55	$2,369.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,704.40 / $3,704.40 / $29,754.98	Facility		$3,704.40	$3,704.40	$29,754.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,148.74 / $12,836.25 / $16,045.31	Professional		$3,148.74	$12,836.25	$16,045.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,168.24 / $7,377.23 / $11,065.85	Facility		$4,168.24	$7,377.23	$11,065.85
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $490.38 / $490.38 / $8,857.92	Professional		$490.38	$490.38	$8,857.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $7,381.60 / $11,065.85	Facility		$80.00	$7,381.60	$11,065.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,653.02 / $3,682.60 / $8,221.46	Professional		$2,653.02	$3,682.60	$8,221.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $55.00 / $7,381.60	Professional		$27.68	$55.00	$7,381.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4,168.24 / $7,377.23 / $11,065.85	Facility		$4,168.24	$7,377.23	$11,065.85
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $490.38 / $490.38 / $8,857.92	Professional		$490.38	$490.38	$8,857.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,243.48 / $2,214.16 / $2,874.93	Professional		$1,243.48	$2,214.16	$2,874.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $3,704.40 / $7,433.65	Facility		$65.00	$3,704.40	$7,433.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $782.55 / $3,704.40 / $3,704.40	Professional		$782.55	$3,704.40	$3,704.40
United Facility/Professional Professional Modifier Low / Median / High Price $2,450.92 / $3,682.60 / $7,825.50	Professional		$2,450.92	$3,682.60	$7,825.50