Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,200.01 / $10,200.01 / $10,200.01	Facility		$10,200.01	$10,200.01	$10,200.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,545.01 / $8,075.01 / $10,200.01	Professional		$6,545.01	$8,075.01	$10,200.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $1,549.20 / $34,673.62	Professional		$1,549.20	$1,549.20	$34,673.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12,933.87 / $12,933.87 / $12,933.87	Facility		$12,933.87	$12,933.87	$12,933.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23,392.17 / $27,335.61 / $41,933.51	Facility		$23,392.17	$27,335.61	$41,933.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,060.46 / $22,888.80 / $26,010.00	Professional		$10,060.46	$22,888.80	$26,010.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6,545.01 / $10,200.00 / $29,750.00	Facility		$6,545.01	$10,200.00	$29,750.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $6,545.01 / $10,200.00 / $29,750.00	Facility		$6,545.01	$10,200.00	$29,750.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,250.00 / $5,100.00 / $26,212.73	Professional		$4,250.00	$5,100.00	$26,212.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6,545.01 / $10,200.00 / $29,750.00	Facility		$6,545.01	$10,200.00	$29,750.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14,190.12 / $20,268.22 / $28,427.54	Professional		$14,190.12	$20,268.22	$28,427.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,000.00 / $40,375.00 / $40,375.00	Facility		$17,000.00	$40,375.00	$40,375.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34,000.00 / $34,000.00 / $42,330.00	Professional		$34,000.00	$34,000.00	$42,330.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18,105.00 / $18,105.00 / $18,105.00	Professional		$18,105.00	$18,105.00	$18,105.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $46,410.00 / $46,410.00 / $46,410.00	Professional		$46,410.00	$46,410.00	$46,410.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,500.00 / $8,500.00 / $8,500.00	Facility		$8,500.00	$8,500.00	$8,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,694.95 / $5,100.00 / $22,542.77	Professional		$3,694.95	$5,100.00	$22,542.77