Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,101.50 / $5,101.50 / $5,101.50	Facility		$5,101.50	$5,101.50	$5,101.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,336.78 / $5,101.50 / $8,470.41	Professional		$3,336.78	$5,101.50	$8,470.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,112.75 / $11,124.03 / $18,405.21	Facility		$10,112.75	$11,124.03	$18,405.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,101.46 / $9,404.86 / $12,438.68	Professional		$9,101.46	$9,404.86	$12,438.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,275.10 / $21,641.29 / $21,641.29	Facility		$7,275.10	$21,641.29	$21,641.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,541.83 / $20,907.02 / $42,210.85	Facility		$6,541.83	$20,907.02	$42,210.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,775.54 / $14,654.53 / $19,139.16	Professional		$4,775.54	$14,654.53	$19,139.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,579.84 / $7,652.25 / $11,629.66	Facility		$2,579.84	$7,652.25	$11,629.66
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5,790.32 / $8,948.58 / $12,135.30	Professional		$5,790.32	$8,948.58	$12,135.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,465.81 / $10,112.75 / $42,519.53	Facility		$4,465.81	$10,112.75	$42,519.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,495.89 / $6,020.97 / $11,011.54	Professional		$4,495.89	$6,020.97	$11,011.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $6,824.63	Professional		$50.00	$70.00	$6,824.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,579.84 / $7,652.25 / $11,629.66	Facility		$2,579.84	$7,652.25	$11,629.66
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5,790.32 / $8,948.58 / $12,135.30	Professional		$5,790.32	$8,948.58	$12,135.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10,112.75 / $15,288.15 / $23,977.39	Professional		$10,112.75	$15,288.15	$23,977.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,541.83 / $19,751.46 / $42,519.53	Facility		$6,541.83	$19,751.46	$42,519.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,775.54 / $6,541.83 / $48,489.51	Professional		$4,775.54	$6,541.83	$48,489.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,112.75 / $10,112.75 / $10,112.75	Professional		$10,112.75	$10,112.75	$10,112.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,112.75 / $10,112.75 / $10,112.75	Professional		$10,112.75	$10,112.75	$10,112.75
United Facility/Professional Facility Modifier Low / Median / High Price $12,816.13 / $12,816.13 / $12,816.13	Facility		$12,816.13	$12,816.13	$12,816.13
United Facility/Professional Professional Modifier Low / Median / High Price $3,363.43 / $5,732.99 / $8,966.12	Professional		$3,363.43	$5,732.99	$8,966.12