Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,380.96 / $4,380.96 / $4,380.96	Facility		$4,380.96	$4,380.96	$4,380.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,637.28 / $4,380.96 / $7,339.74	Professional		$3,637.28	$4,380.96	$7,339.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,684.41 / $9,552.85 / $15,805.63	Facility		$8,684.41	$9,552.85	$15,805.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,815.96 / $8,076.50 / $10,681.82	Professional		$7,815.96	$8,076.50	$10,681.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,247.56 / $18,584.64 / $18,584.64	Facility		$6,247.56	$18,584.64	$18,584.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,042.00 / $17,953.95 / $36,250.11	Facility		$6,042.00	$17,953.95	$36,250.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,410.66 / $12,585.00 / $16,435.93	Professional		$4,410.66	$12,585.00	$16,435.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,498.65 / $6,571.44 / $9,987.07	Facility		$2,498.65	$6,571.44	$9,987.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,972.50 / $8,476.20 / $10,421.29	Professional		$4,972.50	$8,476.20	$10,421.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,325.26 / $8,684.41 / $40,507.83	Facility		$4,325.26	$8,684.41	$40,507.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,922.37 / $5,802.69 / $9,505.94	Professional		$3,922.37	$5,802.69	$9,505.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $5,654.40	Professional		$50.00	$70.00	$5,654.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,498.65 / $6,571.44 / $9,987.07	Facility		$2,498.65	$6,571.44	$9,987.07
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4,972.50 / $8,476.20 / $10,421.29	Professional		$4,972.50	$8,476.20	$10,421.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8,684.41 / $13,365.03 / $23,222.61	Professional		$8,684.41	$13,365.03	$23,222.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,042.00 / $16,961.74 / $40,507.83	Facility		$6,042.00	$16,961.74	$40,507.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,410.66 / $6,042.00 / $43,722.41	Professional		$4,410.66	$6,042.00	$43,722.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,684.41 / $8,684.41 / $8,684.41	Professional		$8,684.41	$8,684.41	$8,684.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,934.30 / $8,684.41 / $8,684.41	Professional		$6,934.30	$8,684.41	$8,684.41
United Facility/Professional Professional Modifier Low / Median / High Price $3,225.32 / $5,160.50 / $7,448.25	Professional		$3,225.32	$5,160.50	$7,448.25