Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,826.61 / $6,826.61 / $6,826.61	Facility		$6,826.61	$6,826.61	$6,826.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,310.88 / $6,143.95 / $8,074.62	Professional		$4,310.88	$6,143.95	$8,074.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,246.00 / $18,647.72 / $18,647.72	Facility		$10,246.00	$18,647.72	$18,647.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,501.53 / $9,528.78 / $12,807.50	Professional		$6,501.53	$9,528.78	$12,807.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $737.10 / $737.10 / $2,192.64	Facility		$737.10	$737.10	$2,192.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $775.57 / $4,321.80 / $27,538.23	Facility		$775.57	$4,321.80	$27,538.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,673.53 / $11,880.00 / $14,850.00	Professional		$3,673.53	$11,880.00	$14,850.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,857.20 / $6,826.61 / $10,239.92	Facility		$3,857.20	$6,826.61	$10,239.92
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $453.78 / $453.78 / $8,196.79	Professional		$453.78	$453.78	$8,196.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $567.23 / $6,878.76 / $8,196.79	Facility		$567.23	$6,878.76	$8,196.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,455.02 / $3,407.76 / $7,607.93	Professional		$2,455.02	$3,407.76	$7,607.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $55.00 / $6,830.67	Professional		$25.61	$55.00	$6,830.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,857.20 / $6,826.61 / $10,239.92	Facility		$3,857.20	$6,826.61	$10,239.92
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $453.78 / $453.78 / $8,196.79	Professional		$453.78	$453.78	$8,196.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,150.68 / $2,048.51 / $2,659.85	Professional		$1,150.68	$2,048.51	$2,659.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $4,640.34 / $6,878.76	Facility		$65.00	$4,640.34	$6,878.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $724.15 / $3,673.53 / $5,793.20	Professional		$724.15	$3,673.53	$5,793.20
United Facility/Professional Professional Modifier Low / Median / High Price $2,268.00 / $3,407.76 / $6,830.67	Professional		$2,268.00	$3,407.76	$6,830.67