Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14,619.40 / $14,619.40 / $14,619.40	Facility		$14,619.40	$14,619.40	$14,619.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12,137.77 / $14,619.40 / $24,493.04	Professional		$12,137.77	$14,619.40	$24,493.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28,980.18 / $31,878.20 / $52,743.93	Facility		$28,980.18	$31,878.20	$52,743.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26,082.16 / $26,951.57 / $35,645.62	Professional		$26,082.16	$26,951.57	$35,645.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20,848.28 / $62,017.59 / $62,017.59	Facility		$20,848.28	$62,017.59	$62,017.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,200.25 / $63,986.13 / $120,965.72	Facility		$16,200.25	$63,986.13	$120,965.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,826.18 / $42,668.19 / $54,847.26	Professional		$11,826.18	$42,668.19	$54,847.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8,350.18 / $21,929.10 / $33,327.21	Facility		$8,350.18	$21,929.10	$33,327.21
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $16,593.36 / $28,285.52 / $34,776.22	Professional		$16,593.36	$28,285.52	$34,776.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $14,454.49 / $28,980.18 / $134,932.92	Facility		$14,454.49	$28,980.18	$134,932.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $13,252.26 / $19,363.75 / $31,555.84	Professional		$13,252.26	$19,363.75	$31,555.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8,350.18 / $21,929.10 / $33,327.21	Facility		$8,350.18	$21,929.10	$33,327.21
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $16,593.36 / $28,285.52 / $34,776.22	Professional		$16,593.36	$28,285.52	$34,776.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28,980.18 / $44,599.54 / $77,608.09	Professional		$28,980.18	$44,599.54	$77,608.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,200.25 / $56,601.92 / $134,932.92	Facility		$16,200.25	$56,601.92	$134,932.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11,826.18 / $16,200.25 / $145,801.04	Professional		$11,826.18	$16,200.25	$145,801.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28,980.18 / $28,980.18 / $28,980.18	Professional		$28,980.18	$28,980.18	$28,980.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23,139.97 / $28,980.18 / $28,980.18	Professional		$23,139.97	$28,980.18	$28,980.18
United Facility/Professional Facility Modifier Low / Median / High Price $41,482.01 / $41,482.01 / $41,482.01	Facility		$41,482.01	$41,482.01	$41,482.01
United Facility/Professional Professional Modifier Low / Median / High Price $10,778.61 / $17,245.77 / $24,855.03	Professional		$10,778.61	$17,245.77	$24,855.03