Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,077.72 / $8,077.72 / $8,077.72	Facility		$8,077.72	$8,077.72	$8,077.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,100.95 / $7,269.95 / $9,554.40	Professional		$5,100.95	$7,269.95	$9,554.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,123.80 / $22,065.32 / $22,065.32	Facility		$12,123.80	$22,065.32	$22,065.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,913.34 / $11,275.13 / $15,154.75	Professional		$8,913.34	$11,275.13	$15,154.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $872.18 / $872.18 / $2,594.48	Facility		$872.18	$872.18	$2,594.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,447.14 / $7,447.14 / $37,027.83	Facility		$7,447.14	$7,447.14	$37,027.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,330.07 / $14,055.00 / $17,568.75	Professional		$6,330.07	$14,055.00	$17,568.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,563.92 / $8,077.72 / $12,116.58	Facility		$4,563.92	$8,077.72	$12,116.58
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $536.94 / $536.94 / $9,699.04	Professional		$536.94	$536.94	$9,699.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $8,082.54 / $12,116.58	Facility		$80.00	$8,082.54	$12,116.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,904.84 / $4,032.28 / $9,002.17	Professional		$2,904.84	$4,032.28	$9,002.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.30 / $55.00 / $8,082.53	Professional		$30.30	$55.00	$8,082.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4,563.92 / $8,077.72 / $12,116.58	Facility		$4,563.92	$8,077.72	$12,116.58
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $536.94 / $536.94 / $9,699.04	Professional		$536.94	$536.94	$9,699.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,361.55 / $2,423.98 / $3,147.37	Professional		$1,361.55	$2,423.98	$3,147.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $7,447.14 / $8,139.29	Facility		$65.00	$7,447.14	$8,139.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $856.86 / $7,447.14 / $7,447.14	Professional		$856.86	$7,447.14	$7,447.14
United Facility/Professional Professional Modifier Low / Median / High Price $2,683.65 / $4,032.28 / $8,082.53	Professional		$2,683.65	$4,032.28	$8,082.53