Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,756.37 / $8,756.37 / $8,756.37	Facility		$8,756.37	$8,756.37	$8,756.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,529.50 / $7,880.73 / $10,357.11	Professional		$5,529.50	$7,880.73	$10,357.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,142.30 / $23,918.99 / $23,918.99	Facility		$13,142.30	$23,918.99	$23,918.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,450.06 / $12,222.34 / $16,427.87	Professional		$6,450.06	$12,222.34	$16,427.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $945.46 / $945.46 / $2,812.45	Facility		$945.46	$945.46	$2,812.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,351.96 / $8,072.81 / $35,323.90	Facility		$6,351.96	$8,072.81	$35,323.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,861.89 / $15,236.25 / $19,045.31	Professional		$6,861.89	$15,236.25	$19,045.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,947.43 / $8,756.37 / $13,134.56	Facility		$4,947.43	$8,756.37	$13,134.56
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $582.04 / $582.04 / $10,513.85	Professional		$582.04	$582.04	$10,513.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $8,761.54 / $13,134.56	Facility		$80.00	$8,761.54	$13,134.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,148.93 / $4,371.04 / $9,758.49	Professional		$3,148.93	$4,371.04	$9,758.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $55.00 / $8,556.20	Professional		$32.08	$55.00	$8,556.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4,947.43 / $8,756.37 / $13,134.56	Facility		$4,947.43	$8,756.37	$13,134.56
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $582.04 / $582.04 / $10,513.85	Professional		$582.04	$582.04	$10,513.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,475.94 / $2,628.28 / $3,412.63	Professional		$1,475.94	$2,628.28	$3,412.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $6,351.96 / $8,823.10	Facility		$65.00	$6,351.96	$8,823.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $928.85 / $8,072.81 / $8,072.81	Professional		$928.85	$8,072.81	$8,072.81
United Facility/Professional Professional Modifier Low / Median / High Price $2,909.12 / $4,371.04 / $9,288.50	Professional		$2,909.12	$4,371.04	$9,288.50