Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,963.53 / $6,963.53 / $6,963.53	Facility		$6,963.53	$6,963.53	$6,963.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,397.34 / $6,267.18 / $8,236.53	Professional		$4,397.34	$6,267.18	$8,236.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,451.50 / $19,021.73 / $19,021.73	Facility		$10,451.50	$19,021.73	$19,021.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,129.43 / $9,719.90 / $13,064.37	Professional		$5,129.43	$9,719.90	$13,064.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $751.88 / $751.88 / $2,236.62	Facility		$751.88	$751.88	$2,236.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,818.66 / $3,818.66 / $31,918.08	Facility		$3,818.66	$3,818.66	$31,918.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,245.86 / $12,116.25 / $15,145.31	Professional		$3,245.86	$12,116.25	$15,145.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,934.48 / $6,963.53 / $10,445.29	Facility		$3,934.48	$6,963.53	$10,445.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $462.88 / $462.88 / $8,361.20	Professional		$462.88	$462.88	$8,361.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $6,967.67 / $10,445.29	Facility		$80.00	$6,967.67	$10,445.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,504.19 / $3,476.08 / $7,760.47	Professional		$2,504.19	$3,476.08	$7,760.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.13 / $55.00 / $6,967.67	Professional		$26.13	$55.00	$6,967.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,934.48 / $6,963.53 / $10,445.29	Facility		$3,934.48	$6,963.53	$10,445.29
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $462.88 / $462.88 / $8,361.20	Professional		$462.88	$462.88	$8,361.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,173.75 / $2,089.53 / $2,713.11	Professional		$1,173.75	$2,089.53	$2,713.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $3,818.66 / $7,016.64	Facility		$65.00	$3,818.66	$7,016.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $738.67 / $3,818.66 / $3,818.66	Professional		$738.67	$3,818.66	$3,818.66
United Facility/Professional Professional Modifier Low / Median / High Price $2,313.46 / $3,476.08 / $6,967.66	Professional		$2,313.46	$3,476.08	$6,967.66