Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,380.21 / $4,380.21 / $7,839.30	Facility		$4,380.21	$4,380.21	$7,839.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,380.21 / $4,469.92 / $7,801.04	Professional		$4,380.21	$4,469.92	$7,801.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,048.91 / $11,151.10 / $16,349.21	Professional		$1,048.91	$11,151.10	$16,349.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,875.67 / $6,875.67 / $6,875.67	Facility		$6,875.67	$6,875.67	$6,875.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,551.49 / $25,980.00 / $36,360.67	Facility		$7,551.49	$25,980.00	$36,360.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,418.77 / $9,742.50 / $12,178.13	Professional		$6,418.77	$9,742.50	$12,178.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,380.21 / $7,884.38 / $12,715.07	Facility		$4,380.21	$7,884.38	$12,715.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $12,079.90 / $12,079.90 / $12,079.90	Professional		$12,079.90	$12,079.90	$12,079.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,760.38 / $10,350.65 / $45,439.44	Facility		$4,760.38	$10,350.65	$45,439.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,275.45 / $9,416.65 / $14,956.63	Professional		$5,275.45	$9,416.65	$14,956.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $11,999.00	Professional		$50.00	$65.00	$11,999.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4,380.21 / $7,801.04 / $12,715.07	Facility		$4,380.21	$7,801.04	$12,715.07
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $12,079.90 / $12,079.90 / $12,079.90	Professional		$12,079.90	$12,079.90	$12,079.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11,033.83 / $20,250.07 / $26,293.26	Professional		$11,033.83	$20,250.07	$26,293.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,551.49 / $16,356.22 / $45,439.44	Facility		$7,551.49	$16,356.22	$45,439.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,418.77 / $7,551.49 / $55,707.21	Professional		$6,418.77	$7,551.49	$55,707.21
United Facility/Professional Professional Modifier Low / Median / High Price $4,632.46 / $7,946.92 / $14,272.59	Professional		$4,632.46	$7,946.92	$14,272.59