Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,186.58 / $3,186.58 / $3,186.58	Facility		$3,186.58	$3,186.58	$3,186.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,540.19 / $3,186.58 / $5,290.92	Professional		$2,540.19	$3,186.58	$5,290.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,316.78 / $6,948.46 / $11,496.54	Facility		$6,316.78	$6,948.46	$11,496.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,874.61 / $5,874.61 / $7,769.63	Professional		$5,874.61	$5,874.61	$7,769.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,544.29 / $13,517.91 / $13,517.91	Facility		$4,544.29	$13,517.91	$13,517.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,052.23 / $13,946.54 / $26,366.39	Facility		$4,052.23	$13,946.54	$26,366.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,958.13 / $9,153.75 / $11,955.00	Professional		$2,958.13	$9,153.75	$11,955.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,797.85 / $4,779.87 / $7,264.30	Facility		$1,797.85	$4,779.87	$7,264.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3,616.85 / $6,316.78 / $7,580.14	Professional		$3,616.85	$6,316.78	$7,580.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,112.14 / $6,316.78 / $29,802.90	Facility		$3,112.14	$6,316.78	$29,802.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,845.42 / $4,194.97 / $6,962.12	Professional		$2,845.42	$4,194.97	$6,962.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $4,262.92	Professional		$50.00	$70.00	$4,262.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,797.85 / $4,779.87 / $7,264.30	Facility		$1,797.85	$4,779.87	$7,264.30
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $3,616.85 / $6,316.78 / $7,580.14	Professional		$3,616.85	$6,316.78	$7,580.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,316.78 / $9,721.34 / $16,709.59	Professional		$6,316.78	$9,721.34	$16,709.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,052.23 / $12,337.46 / $29,802.90	Facility		$4,052.23	$12,337.46	$29,802.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,958.13 / $4,052.23 / $36,484.17	Professional		$2,958.13	$4,052.23	$36,484.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,316.78 / $6,316.78 / $6,316.78	Professional		$6,316.78	$6,316.78	$6,316.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,316.78 / $6,316.78 / $6,316.78	Professional		$6,316.78	$6,316.78	$6,316.78
United Facility/Professional Professional Modifier Low / Median / High Price $2,516.53 / $3,790.07 / $5,600.56	Professional		$2,516.53	$3,790.07	$5,600.56