Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,331.20 / $9,331.20 / $17,340.50	Facility		$9,331.20	$9,331.20	$17,340.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,987.52 / $7,776.00 / $9,331.20	Professional		$5,987.52	$7,776.00	$9,331.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16,718.40 / $20,217.59 / $21,384.00	Facility		$16,718.40	$20,217.59	$21,384.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.83 / $309.83 / $33,306.26	Professional		$309.83	$309.83	$33,306.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19,751.04 / $19,751.04 / $19,751.04	Facility		$19,751.04	$19,751.04	$19,751.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,399.80 / $25,007.36 / $38,361.93	Facility		$21,399.80	$25,007.36	$38,361.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,935.26 / $20,939.22 / $23,794.56	Professional		$8,935.26	$20,939.22	$23,794.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5,987.52 / $9,331.20 / $27,216.00	Facility		$5,987.52	$9,331.20	$27,216.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,987.52 / $9,331.20 / $27,216.00	Facility		$5,987.52	$9,331.20	$27,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,888.00 / $4,665.60 / $23,980.02	Professional		$3,888.00	$4,665.60	$23,980.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $3,888.00	Professional		$50.00	$65.00	$3,888.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5,987.52 / $9,331.20 / $27,216.00	Facility		$5,987.52	$9,331.20	$27,216.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13,972.05 / $18,542.05 / $26,006.47	Professional		$13,972.05	$18,542.05	$26,006.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,552.00 / $36,936.00 / $36,936.00	Facility		$15,552.00	$36,936.00	$36,936.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11,275.20 / $31,104.00 / $38,724.48	Professional		$11,275.20	$31,104.00	$38,724.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16,559.33 / $16,559.33 / $16,559.33	Professional		$16,559.33	$16,559.33	$16,559.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22,598.72 / $42,456.96 / $42,456.96	Professional		$22,598.72	$42,456.96	$42,456.96
United Facility/Professional Professional Modifier Low / Median / High Price $3,499.20 / $4,978.97 / $14,474.25	Professional		$3,499.20	$4,978.97	$14,474.25