Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,424.49 / $5,424.49 / $5,424.49	Facility		$5,424.49	$5,424.49	$5,424.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,561.59 / $5,424.49 / $9,204.92	Professional		$4,561.59	$5,424.49	$9,204.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,753.02 / $11,828.32 / $19,570.50	Facility		$10,753.02	$11,828.32	$19,570.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,000.31 / $10,000.31 / $13,226.21	Professional		$10,000.31	$10,000.31	$13,226.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,735.70 / $23,011.46 / $23,011.46	Facility		$7,735.70	$23,011.46	$23,011.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,503.37 / $22,230.65 / $44,884.02	Facility		$7,503.37	$22,230.65	$44,884.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,477.46 / $15,582.66 / $20,350.93	Professional		$5,477.46	$15,582.66	$20,350.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,034.15 / $8,136.74 / $12,365.97	Facility		$3,034.15	$8,136.74	$12,365.97
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6,156.92 / $9,673.45 / $12,903.62	Professional		$6,156.92	$9,673.45	$12,903.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,252.23 / $10,753.02 / $48,813.24	Facility		$5,252.23	$10,753.02	$48,813.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,843.72 / $7,079.68 / $11,708.71	Professional		$4,843.72	$7,079.68	$11,708.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $6,951.02	Professional		$50.00	$70.00	$6,951.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,034.15 / $8,136.74 / $12,365.97	Facility		$3,034.15	$8,136.74	$12,365.97
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $6,156.92 / $9,673.45 / $12,903.62	Professional		$6,156.92	$9,673.45	$12,903.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10,753.02 / $16,548.54 / $28,199.96	Professional		$10,753.02	$16,548.54	$28,199.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,503.37 / $21,002.00 / $48,813.24	Facility		$7,503.37	$21,002.00	$48,813.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,477.46 / $7,503.37 / $54,698.83	Professional		$5,477.46	$7,503.37	$54,698.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,753.02 / $10,753.02 / $10,753.02	Professional		$10,753.02	$10,753.02	$10,753.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,624.36 / $10,753.02 / $10,753.02	Professional		$7,624.36	$10,753.02	$10,753.02
United Facility/Professional Professional Modifier Low / Median / High Price $3,916.55 / $6,451.81 / $9,533.79	Professional		$3,916.55	$6,451.81	$9,533.79