Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,600.19 / $11,600.19 / $11,600.19	Facility		$11,600.19	$11,600.19	$11,600.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,325.33 / $10,440.17 / $13,720.86	Professional		$7,325.33	$10,440.17	$13,720.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,410.70 / $31,687.47 / $31,687.47	Facility		$17,410.70	$31,687.47	$31,687.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,544.87 / $16,191.95 / $21,415.16	Professional		$8,544.87	$16,191.95	$21,415.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,252.51 / $1,252.51 / $3,725.89	Facility		$1,252.51	$1,252.51	$3,725.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,922.50 / $10,694.63 / $46,795.16	Facility		$6,922.50	$10,694.63	$46,795.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,090.44 / $20,182.50 / $25,228.13	Professional		$9,090.44	$20,182.50	$25,228.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6,554.24 / $11,600.19 / $17,400.29	Facility		$6,554.24	$11,600.19	$17,400.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $771.09 / $771.09 / $13,928.57	Professional		$771.09	$771.09	$13,928.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $11,607.14 / $17,400.29	Facility		$80.00	$11,607.14	$17,400.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,171.60 / $5,790.64 / $12,927.74	Professional		$4,171.60	$5,790.64	$12,927.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $55.00 / $9,670.40	Professional		$36.26	$55.00	$9,670.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6,554.24 / $11,600.19 / $17,400.29	Facility		$6,554.24	$11,600.19	$17,400.29
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $771.09 / $771.09 / $13,928.57	Professional		$771.09	$771.09	$13,928.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,955.30 / $3,481.76 / $4,520.82	Professional		$1,955.30	$3,481.76	$4,520.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $6,922.50 / $11,688.69	Facility		$65.00	$6,922.50	$11,688.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,230.51 / $10,694.63 / $10,694.63	Professional		$1,230.51	$10,694.63	$10,694.63
United Facility/Professional Professional Modifier Low / Median / High Price $3,853.92 / $5,790.64 / $12,305.10	Professional		$3,853.92	$5,790.64	$12,305.10