Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29,276.78 / $56,848.10 / $65,287.20	Facility		$29,276.78	$56,848.10	$65,287.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,708.30 / $34,108.87	Professional		$28,424.06	$28,708.30	$34,108.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35,530.08 / $52,584.51 / $63,385.65	Facility		$35,530.08	$52,584.51	$63,385.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $38,372.48	Professional		$28,424.06	$28,424.06	$38,372.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45,478.50 / $51,163.31 / $52,098.60	Facility		$45,478.50	$51,163.31	$52,098.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28,424.06 / $41,169.67 / $75,315.30	Facility		$28,424.06	$41,169.67	$75,315.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28,408.73 / $32,484.64 / $50,621.90	Professional		$28,408.73	$32,484.64	$50,621.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13,841.15 / $28,424.06 / $31,266.46	Facility		$13,841.15	$28,424.06	$31,266.46
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,472.64 / $56,848.12 / $56,848.12	Professional		$1,472.64	$56,848.12	$56,848.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $13,841.15 / $28,424.06 / $31,266.46	Facility		$13,841.15	$28,424.06	$31,266.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $31,641.95 / $119,518.82	Professional		$28,424.06	$31,641.95	$119,518.82
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 $13,841.15 / $28,424.06 / $31,266.46	Facility		$13,841.15	$28,424.06	$31,266.46
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1,472.64 / $56,848.12 / $56,848.12	Professional		$1,472.64	$56,848.12	$56,848.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $30,837.42 / $83,689.00	Professional		$28,424.06	$30,837.42	$83,689.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,351.45 / $28,424.06 / $135,352.65	Facility		$27,351.45	$28,424.06	$135,352.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $49,799.51 / $119,518.82	Professional		$28,424.06	$49,799.51	$119,518.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18,826.46 / $39,907.37 / $39,907.37	Professional		$18,826.46	$39,907.37	$39,907.37
United Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $29,279.62 / $33,824.62	Professional		$28,424.06	$29,279.62	$33,824.62