Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,333.12 / $6,333.12 / $6,333.12	Facility		$6,333.12	$6,333.12	$6,333.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,986.17 / $6,333.12 / $10,515.37	Professional		$4,986.17	$6,333.12	$10,515.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,554.20 / $13,809.62 / $22,848.64	Facility		$12,554.20	$13,809.62	$22,848.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,858.13 / $11,675.41 / $15,441.66	Professional		$10,858.13	$11,675.41	$15,441.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9,031.46 / $26,865.99 / $26,865.99	Facility		$9,031.46	$26,865.99	$26,865.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,121.18 / $25,954.83 / $52,402.48	Facility		$8,121.18	$25,954.83	$52,402.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,928.46 / $20,908.62 / $23,759.80	Professional		$5,928.46	$20,908.62	$23,759.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,855.07 / $9,499.68 / $14,437.33	Facility		$3,855.07	$9,499.68	$14,437.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7,188.23 / $11,969.51 / $15,065.04	Professional		$7,188.23	$11,969.51	$15,065.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $6,333.12 / $12,554.20 / $62,341.20	Facility		$6,333.12	$12,554.20	$62,341.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,837.12 / $8,388.37 / $13,669.98	Professional		$5,837.12	$8,388.37	$13,669.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $8,472.25	Professional		$50.00	$70.00	$8,472.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,855.07 / $9,499.68 / $14,437.33	Facility		$3,855.07	$9,499.68	$14,437.33
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7,188.23 / $11,969.51 / $15,065.04	Professional		$7,188.23	$11,969.51	$15,065.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12,554.20 / $19,320.49 / $35,830.08	Professional		$12,554.20	$19,320.49	$35,830.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,121.18 / $24,519.92 / $62,341.20	Facility		$8,121.18	$24,519.92	$62,341.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,928.46 / $8,121.18 / $79,477.56	Professional		$5,928.46	$8,121.18	$79,477.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,554.20 / $12,554.20 / $12,554.20	Professional		$12,554.20	$12,554.20	$12,554.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,554.20 / $12,554.20 / $12,554.20	Professional		$12,554.20	$12,554.20	$12,554.20
United Facility/Professional Professional Modifier Low / Median / High Price $5,001.43 / $7,961.94 / $12,554.20	Professional		$5,001.43	$7,961.94	$12,554.20