Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,631.60 / $8,631.60 / $16,040.40	Facility		$8,631.60	$8,631.60	$16,040.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,538.61 / $6,833.35 / $8,631.60	Professional		$5,538.61	$6,833.35	$8,631.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,464.95 / $18,701.80 / $19,780.75	Facility		$15,464.95	$18,701.80	$19,780.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,877.20 / $2,877.20 / $30,809.15	Professional		$2,877.20	$2,877.20	$30,809.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18,270.22 / $18,270.22 / $18,270.22	Facility		$18,270.22	$18,270.22	$18,270.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19,794.90 / $23,131.91 / $35,484.94	Facility		$19,794.90	$23,131.91	$35,484.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,265.37 / $19,369.31 / $22,010.58	Professional		$8,265.37	$19,369.31	$22,010.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5,538.61 / $8,631.60 / $25,175.50	Facility		$5,538.61	$8,631.60	$25,175.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,538.61 / $8,631.60 / $25,175.50	Facility		$5,538.61	$8,631.60	$25,175.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,596.50 / $4,315.80 / $22,182.13	Professional		$3,596.50	$4,315.80	$22,182.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $5,754.40	Professional		$50.00	$70.00	$5,754.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5,538.61 / $8,631.60 / $25,175.50	Facility		$5,538.61	$8,631.60	$25,175.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12,924.14 / $17,151.40 / $24,055.99	Professional		$12,924.14	$17,151.40	$24,055.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,386.00 / $34,166.75 / $34,166.75	Facility		$14,386.00	$34,166.75	$34,166.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,847.42 / $28,772.00 / $35,821.14	Professional		$6,847.42	$28,772.00	$35,821.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,193.00 / $7,193.00 / $15,317.81	Professional		$7,193.00	$7,193.00	$15,317.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,193.00 / $20,902.86 / $39,273.78	Professional		$7,193.00	$20,902.86	$39,273.78
United Facility/Professional Facility Modifier Low / Median / High Price $7,193.00 / $7,193.00 / $7,193.00	Facility		$7,193.00	$7,193.00	$7,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,236.85 / $4,315.80 / $15,105.30	Professional		$3,236.85	$4,315.80	$15,105.30