Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,344.88 / $6,344.88 / $6,344.88	Facility		$6,344.88	$6,344.88	$6,344.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,386.76 / $6,344.88 / $10,534.90	Professional		$4,386.76	$6,344.88	$10,534.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,577.53 / $13,835.28 / $22,891.10	Facility		$12,577.53	$13,835.28	$22,891.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,319.77 / $11,697.10 / $15,470.36	Professional		$11,319.77	$11,697.10	$15,470.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9,048.24 / $26,915.91 / $26,915.91	Facility		$9,048.24	$26,915.91	$26,915.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,136.27 / $26,002.68 / $52,499.05	Facility		$8,136.27	$26,002.68	$52,499.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,939.48 / $18,226.41 / $23,803.95	Professional		$5,939.48	$18,226.41	$23,803.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,391.63 / $9,517.32 / $14,464.16	Facility		$3,391.63	$9,517.32	$14,464.16
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7,201.59 / $10,541.85 / $15,093.04	Professional		$7,201.59	$10,541.85	$15,093.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,871.05 / $12,577.53 / $54,846.88	Facility		$5,871.05	$12,577.53	$54,846.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,324.17 / $7,913.81 / $13,695.37	Professional		$5,324.17	$7,913.81	$13,695.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $8,488.00	Professional		$50.00	$70.00	$8,488.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,391.63 / $9,517.32 / $14,464.16	Facility		$3,391.63	$9,517.32	$14,464.16
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7,201.59 / $10,541.85 / $15,093.04	Professional		$7,201.59	$10,541.85	$15,093.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12,577.53 / $19,356.40 / $31,522.20	Professional		$12,577.53	$19,356.40	$31,522.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,136.27 / $24,565.48 / $54,846.88	Facility		$8,136.27	$24,565.48	$54,846.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,939.48 / $8,136.27 / $69,923.17	Professional		$5,939.48	$8,136.27	$69,923.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,577.53 / $12,577.53 / $12,577.53	Professional		$12,577.53	$12,577.53	$12,577.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,577.53 / $12,577.53 / $12,577.53	Professional		$12,577.53	$12,577.53	$12,577.53
United Facility/Professional Professional Modifier Low / Median / High Price $4,378.00 / $7,546.52 / $11,151.43	Professional		$4,378.00	$7,546.52	$11,151.43