Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,100.41 / $12,100.41 / $12,100.41	Facility		$12,100.41	$12,100.41	$12,100.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,641.21 / $10,890.37 / $14,312.52	Professional		$7,641.21	$10,890.37	$14,312.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18,161.40 / $33,053.75 / $33,053.75	Facility		$18,161.40	$33,053.75	$33,053.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13,370.01 / $16,890.09 / $22,701.75	Professional		$13,370.01	$16,890.09	$22,701.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,306.53 / $1,306.53 / $3,886.54	Facility		$1,306.53	$1,306.53	$3,886.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,645.60 / $11,155.72 / $48,804.66	Facility		$6,645.60	$11,155.72	$48,804.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,482.36 / $21,056.25 / $26,320.31	Professional		$9,482.36	$21,056.25	$26,320.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6,836.80 / $12,100.41 / $18,150.62	Facility		$6,836.80	$12,100.41	$18,150.62
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $804.33 / $804.33 / $14,529.13	Professional		$804.33	$804.33	$14,529.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $12,107.61 / $18,150.62	Facility		$80.00	$12,107.61	$18,150.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,351.49 / $6,040.36 / $13,485.29	Professional		$4,351.49	$6,040.36	$13,485.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.40 / $58.40 / $12,107.60	Professional		$45.40	$58.40	$12,107.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6,836.80 / $12,100.41 / $18,150.62	Facility		$6,836.80	$12,100.41	$18,150.62
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $804.33 / $804.33 / $14,529.13	Professional		$804.33	$804.33	$14,529.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,039.61 / $3,631.64 / $4,715.42	Professional		$2,039.61	$3,631.64	$4,715.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $6,645.60 / $12,192.66	Facility		$65.00	$6,645.60	$12,192.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,283.58 / $11,155.72 / $11,155.72	Professional		$1,283.58	$11,155.72	$11,155.72
United Facility/Professional Professional Modifier Low / Median / High Price $4,278.60 / $6,040.36 / $12,835.80	Professional		$4,278.60	$6,040.36	$12,835.80