Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,187.51 / $5,187.51 / $5,187.51	Facility		$5,187.51	$5,187.51	$5,187.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,306.92 / $5,187.51 / $8,691.02	Professional		$4,306.92	$5,187.51	$8,691.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,283.25 / $11,311.58 / $18,715.52	Facility		$10,283.25	$11,311.58	$18,715.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,254.92 / $9,563.42 / $12,648.39	Professional		$9,254.92	$9,563.42	$12,648.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,397.76 / $22,006.16 / $22,006.16	Facility		$7,397.76	$22,006.16	$22,006.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,652.12 / $22,704.57 / $42,923.23	Facility		$6,652.12	$22,704.57	$42,923.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,856.05 / $15,139.99 / $19,461.86	Professional		$4,856.05	$15,139.99	$19,461.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,970.74 / $7,781.27 / $11,825.74	Facility		$2,970.74	$7,781.27	$11,825.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5,887.94 / $10,036.81 / $12,339.90	Professional		$5,887.94	$10,036.81	$12,339.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,142.47 / $10,283.25 / $48,028.27	Facility		$5,142.47	$10,283.25	$48,028.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,714.76 / $6,870.99 / $11,248.73	Professional		$4,714.76	$6,870.99	$11,248.73
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 $2,970.74 / $7,781.27 / $11,825.74	Facility		$2,970.74	$7,781.27	$11,825.74
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5,887.94 / $10,036.81 / $12,339.90	Professional		$5,887.94	$10,036.81	$12,339.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10,283.25 / $15,825.58 / $27,610.78	Professional		$10,283.25	$15,825.58	$27,610.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,652.12 / $20,084.48 / $48,028.27	Facility		$6,652.12	$20,084.48	$48,028.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,856.05 / $6,652.12 / $51,669.39	Professional		$4,856.05	$6,652.12	$51,669.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,283.25 / $10,283.25 / $10,283.25	Professional		$10,283.25	$10,283.25	$10,283.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,283.25 / $10,283.25 / $10,283.25	Professional		$10,283.25	$10,283.25	$10,283.25
United Facility/Professional Professional Modifier Low / Median / High Price $3,834.71 / $6,169.95 / $9,838.70	Professional		$3,834.71	$6,169.95	$9,838.70