Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,469.93 / $8,469.93 / $8,469.93	Facility		$8,469.93	$8,469.93	$8,469.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,348.61 / $7,622.94 / $10,018.35	Professional		$5,348.61	$7,622.94	$10,018.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,712.40 / $23,136.57 / $23,136.57	Facility		$12,712.40	$23,136.57	$23,136.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,239.16 / $11,822.53 / $15,890.50	Professional		$6,239.16	$11,822.53	$15,890.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $914.54 / $914.54 / $2,720.45	Facility		$914.54	$914.54	$2,720.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,978.93 / $4,978.93 / $34,161.46	Facility		$4,978.93	$4,978.93	$34,161.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,232.09 / $14,737.50 / $18,421.88	Professional		$4,232.09	$14,737.50	$18,421.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,785.60 / $8,469.93 / $12,704.90	Facility		$4,785.60	$8,469.93	$12,704.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $563.01 / $563.01 / $10,169.93	Professional		$563.01	$563.01	$10,169.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $703.76 / $8,474.94 / $10,169.93	Facility		$703.76	$8,474.94	$10,169.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,045.94 / $4,228.08 / $9,439.33	Professional		$3,045.94	$4,228.08	$9,439.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.77 / $55.00 / $8,474.93	Professional		$31.77	$55.00	$8,474.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4,785.60 / $8,469.93 / $12,704.90	Facility		$4,785.60	$8,469.93	$12,704.90
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $563.01 / $563.01 / $10,169.93	Professional		$563.01	$563.01	$10,169.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,427.67 / $2,542.30 / $3,301.00	Professional		$1,427.67	$2,542.30	$3,301.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $4,978.93 / $8,534.45	Facility		$65.00	$4,978.93	$8,534.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $898.47 / $4,978.93 / $4,978.93	Professional		$898.47	$4,978.93	$4,978.93
United Facility/Professional Professional Modifier Low / Median / High Price $2,994.90 / $4,228.08 / $8,474.93	Professional		$2,994.90	$4,228.08	$8,474.93