Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,078.54 / $7,078.54 / $7,078.54	Facility		$7,078.54	$7,078.54	$7,078.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,360.09 / $7,078.54 / $11,753.05	Professional		$5,360.09	$7,078.54	$11,753.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,031.86 / $15,435.05 / $25,537.99	Facility		$14,031.86	$15,435.05	$25,537.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12,136.15 / $13,049.63 / $17,259.18	Professional		$12,136.15	$13,049.63	$17,259.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10,094.49 / $30,028.18 / $30,028.18	Facility		$10,094.49	$30,028.18	$30,028.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,077.06 / $29,009.21 / $58,570.35	Facility		$9,077.06	$29,009.21	$58,570.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,626.25 / $20,333.91 / $26,556.40	Professional		$6,626.25	$20,333.91	$26,556.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,945.77 / $10,617.81 / $16,136.64	Facility		$3,945.77	$10,617.81	$16,136.64
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8,034.31 / $12,251.13 / $16,838.23	Professional		$8,034.31	$12,251.13	$16,838.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $6,830.29 / $14,031.86 / $63,807.96	Facility		$6,830.29	$14,031.86	$63,807.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,194.05 / $9,206.79 / $15,278.97	Professional		$6,194.05	$9,206.79	$15,278.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $9,469.45	Professional		$50.00	$70.00	$9,469.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,945.77 / $10,617.81 / $16,136.64	Facility		$3,945.77	$10,617.81	$16,136.64
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $8,034.31 / $12,251.13 / $16,838.23	Professional		$8,034.31	$12,251.13	$16,838.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14,031.86 / $21,594.58 / $36,673.19	Professional		$14,031.86	$21,594.58	$36,673.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,077.06 / $27,405.98 / $63,807.96	Facility		$9,077.06	$27,405.98	$63,807.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,626.25 / $9,077.06 / $81,347.50	Professional		$6,626.25	$9,077.06	$81,347.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14,031.86 / $14,031.86 / $14,031.86	Professional		$14,031.86	$14,031.86	$14,031.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14,031.86 / $14,031.86 / $14,031.86	Professional		$14,031.86	$14,031.86	$14,031.86
United Facility/Professional Professional Modifier Low / Median / High Price $5,093.30 / $8,419.12 / $13,584.92	Professional		$5,093.30	$8,419.12	$13,584.92