Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19,554.28 / $19,554.28 / $19,554.28	Facility		$19,554.28	$19,554.28	$19,554.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19,554.28 / $20,945.27 / $26,933.26	Professional		$19,554.28	$20,945.27	$26,933.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38,762.62 / $42,638.89 / $70,547.99	Facility		$38,762.62	$42,638.89	$70,547.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36,049.25 / $38,762.62 / $54,000.00	Professional		$36,049.25	$38,762.62	$54,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33,537.43 / $82,952.03 / $82,952.03	Facility		$33,537.43	$82,952.03	$82,952.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104,174.88 / $121,736.59 / $186,747.04	Facility		$104,174.88	$121,736.59	$186,747.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31,019.05 / $64,557.97 / $73,361.33	Professional		$31,019.05	$64,557.97	$73,361.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19,554.28 / $30,903.70 / $44,577.02	Facility		$19,554.28	$30,903.70	$44,577.02
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $38,762.62 / $39,155.01 / $46,515.16	Professional		$38,762.62	$39,155.01	$46,515.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $24,267.05 / $38,762.62 / $182,487.33	Facility		$24,267.05	$38,762.62	$182,487.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $19,874.21 / $24,842.77 / $44,034.03	Professional		$19,874.21	$24,842.77	$44,034.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19,554.28 / $30,903.70 / $44,577.02	Facility		$19,554.28	$30,903.70	$44,577.02
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $38,762.62 / $39,155.01 / $46,515.16	Professional		$38,762.62	$39,155.01	$46,515.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38,762.62 / $60,358.17 / $113,236.43	Professional		$38,762.62	$60,358.17	$113,236.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $75,708.28 / $75,708.28 / $182,487.33	Facility		$75,708.28	$75,708.28	$182,487.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31,019.05 / $170,343.62 / $196,622.34	Professional		$31,019.05	$170,343.62	$196,622.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38,762.62 / $38,762.62 / $38,762.62	Professional		$38,762.62	$38,762.62	$38,762.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38,762.62 / $38,762.62 / $38,762.62	Professional		$38,762.62	$38,762.62	$38,762.62
United Facility/Professional Professional Modifier Low / Median / High Price $16,970.96 / $23,257.58 / $42,207.73	Professional		$16,970.96	$23,257.58	$42,207.73