Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,318.27 / $11,318.27 / $11,318.27	Facility		$11,318.27	$11,318.27	$11,318.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,397.00 / $11,318.27 / $18,962.38	Professional		$9,397.00	$11,318.27	$18,962.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22,436.32 / $24,679.95 / $40,834.10	Facility		$22,436.32	$24,679.95	$40,834.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19,405.16 / $20,865.78 / $27,596.67	Professional		$19,405.16	$20,865.78	$27,596.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16,140.65 / $48,013.72 / $48,013.72	Facility		$16,140.65	$48,013.72	$48,013.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,513.81 / $49,537.69 / $93,650.43	Facility		$14,513.81	$49,537.69	$93,650.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,595.08 / $33,033.18 / $42,462.49	Professional		$10,595.08	$33,033.18	$42,462.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6,455.32 / $16,977.41 / $25,801.77	Facility		$6,455.32	$16,977.41	$25,801.77
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $12,846.50 / $21,898.50 / $26,923.58	Professional		$12,846.50	$21,898.50	$26,923.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $11,174.41 / $22,436.32 / $104,478.94	Facility		$11,174.41	$22,436.32	$104,478.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $10,245.00 / $14,991.32 / $24,430.38	Professional		$10,245.00	$14,991.32	$24,430.38
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 $6,455.32 / $16,977.41 / $25,801.77	Facility		$6,455.32	$16,977.41	$25,801.77
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $12,846.50 / $21,898.50 / $26,923.58	Professional		$12,846.50	$21,898.50	$26,923.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22,436.32 / $34,528.74 / $59,997.17	Professional		$22,436.32	$34,528.74	$59,997.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,513.81 / $43,820.94 / $104,478.94	Facility		$14,513.81	$43,820.94	$104,478.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10,595.08 / $14,513.81 / $112,957.80	Professional		$10,595.08	$14,513.81	$112,957.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22,436.32 / $22,436.32 / $22,436.32	Professional		$22,436.32	$22,436.32	$22,436.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22,436.32 / $22,436.32 / $22,436.32	Professional		$22,436.32	$22,436.32	$22,436.32
United Facility/Professional Professional Modifier Low / Median / High Price $8,332.68 / $13,213.37 / $19,242.64	Professional		$8,332.68	$13,213.37	$19,242.64