Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,523.96 / $8,523.96 / $8,523.96	Facility		$8,523.96	$8,523.96	$8,523.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,382.74 / $7,671.57 / $10,082.25	Professional		$5,382.74	$7,671.57	$10,082.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,793.50 / $23,284.17 / $23,284.17	Facility		$12,793.50	$23,284.17	$23,284.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,278.93 / $11,897.96 / $15,991.87	Professional		$6,278.93	$11,897.96	$15,991.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $920.37 / $920.37 / $2,737.81	Facility		$920.37	$920.37	$2,737.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,109.46 / $5,109.46 / $34,386.74	Facility		$5,109.46	$5,109.46	$34,386.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,343.04 / $14,831.25 / $18,539.06	Professional		$4,343.04	$14,831.25	$18,539.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,816.16 / $8,523.96 / $12,785.96	Facility		$4,816.16	$8,523.96	$12,785.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $566.61 / $566.61 / $10,234.79	Professional		$566.61	$566.61	$10,234.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $8,529.00 / $12,785.96	Facility		$80.00	$8,529.00	$12,785.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,065.37 / $4,255.04 / $9,499.53	Professional		$3,065.37	$4,255.04	$9,499.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.23 / $55.00 / $8,329.12	Professional		$31.23	$55.00	$8,329.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4,816.16 / $8,523.96 / $12,785.96	Facility		$4,816.16	$8,523.96	$12,785.96
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $566.61 / $566.61 / $10,234.79	Professional		$566.61	$566.61	$10,234.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,436.78 / $2,558.08 / $3,321.48	Professional		$1,436.78	$2,558.08	$3,321.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $5,109.46 / $8,589.12	Facility		$65.00	$5,109.46	$8,589.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $904.20 / $5,109.46 / $5,109.46	Professional		$904.20	$5,109.46	$5,109.46
United Facility/Professional Professional Modifier Low / Median / High Price $3,014.00 / $4,255.04 / $9,499.53	Professional		$3,014.00	$4,255.04	$9,499.53