Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14,399.49 / $14,399.49 / $14,399.49	Facility		$14,399.49	$14,399.49	$14,399.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,093.03 / $12,959.54 / $17,031.87	Professional		$9,093.03	$12,959.54	$17,031.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,612.00 / $39,333.83 / $39,333.83	Facility		$21,612.00	$39,333.83	$39,333.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15,910.41 / $20,099.16 / $26,582.76	Professional		$15,910.41	$20,099.16	$26,582.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,554.77 / $1,554.77 / $4,624.97	Facility		$1,554.77	$1,554.77	$4,624.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,568.60 / $13,275.38 / $58,086.20	Facility		$7,568.60	$13,275.38	$58,086.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,284.07 / $25,053.75 / $31,317.19	Professional		$11,284.07	$25,053.75	$31,317.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8,135.84 / $14,399.49 / $21,599.24	Facility		$8,135.84	$14,399.49	$21,599.24
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $957.16 / $957.16 / $17,289.61	Professional		$957.16	$957.16	$17,289.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $14,408.01 / $21,599.24	Facility		$80.00	$14,408.01	$21,599.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,178.32 / $7,188.04 / $16,047.50	Professional		$5,178.32	$7,188.04	$16,047.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $14,070.33	Professional		$50.00	$58.40	$14,070.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8,135.84 / $14,399.49 / $21,599.24	Facility		$8,135.84	$14,399.49	$21,599.24
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $957.16 / $957.16 / $17,289.61	Professional		$957.16	$957.16	$17,289.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,427.13 / $4,321.84 / $5,611.59	Professional		$2,427.13	$4,321.84	$5,611.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $7,568.60 / $14,509.39	Facility		$65.00	$7,568.60	$14,509.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,527.46 / $13,275.38 / $13,275.38	Professional		$1,527.46	$13,275.38	$13,275.38
United Facility/Professional Professional Modifier Low / Median / High Price $4,783.92 / $7,188.04 / $15,274.61	Professional		$4,783.92	$7,188.04	$15,274.61