Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,600.63 / $12,586.40 / $14,825.50	Facility		$6,600.63	$12,586.40	$14,825.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,600.63 / $14,657.40	Professional		$6,408.38	$6,600.63	$14,657.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,010.48 / $11,855.50 / $14,290.69	Facility		$8,010.48	$11,855.50	$14,290.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $8,138.64	Professional		$6,408.38	$6,408.38	$8,138.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8,773.66 / $8,773.66 / $10,253.41	Facility		$8,773.66	$8,773.66	$10,253.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,408.38 / $13,858.36 / $19,809.63	Facility		$6,408.38	$13,858.36	$19,809.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $9,077.43 / $10,315.26	Professional		$6,408.38	$9,077.43	$10,315.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5,141.21 / $6,454.57 / $14,122.71	Facility		$5,141.21	$6,454.57	$14,122.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $35.27 / $12,816.76 / $12,816.76	Professional		$35.27	$12,816.76	$12,816.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,141.21 / $6,454.57 / $14,223.93	Facility		$5,141.21	$6,454.57	$14,223.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,454.57 / $6,454.57 / $12,816.76	Professional		$6,454.57	$6,454.57	$12,816.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.00 / $6,460.03	Professional		$65.00	$85.00	$6,460.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5,141.21 / $6,454.57 / $14,122.71	Facility		$5,141.21	$6,454.57	$14,122.71
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $35.27 / $12,816.76 / $12,816.76	Professional		$35.27	$12,816.76	$12,816.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $9,613.28 / $18,809.00	Professional		$6,408.38	$9,613.28	$18,809.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32,300.15 / $32,300.15 / $32,300.15	Facility		$32,300.15	$32,300.15	$32,300.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $6,408.38	Professional		$6,408.38	$6,408.38	$6,408.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,993.03 / $8,997.37 / $9,047.06	Professional		$6,993.03	$8,997.37	$9,047.06
United Facility/Professional Professional Modifier Low / Median / High Price $6,408.38 / $6,408.38 / $8,330.89	Professional		$6,408.38	$6,408.38	$8,330.89