Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,344.43 / $7,344.43 / $7,344.43	Facility		$7,344.43	$7,344.43	$7,344.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,971.62 / $7,344.43 / $12,194.52	Professional		$5,971.62	$7,344.43	$12,194.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,558.92 / $16,014.81 / $26,497.23	Facility		$14,558.92	$16,014.81	$26,497.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13,103.02 / $13,539.80 / $17,907.47	Professional		$13,103.02	$13,539.80	$17,907.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10,473.67 / $31,156.09 / $31,156.09	Facility		$10,473.67	$31,156.09	$31,156.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,418.01 / $30,099.27 / $60,770.47	Facility		$9,418.01	$30,099.27	$60,770.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,875.15 / $21,097.97 / $27,553.90	Professional		$6,875.15	$21,097.97	$27,553.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,616.97 / $11,016.65 / $16,742.75	Facility		$4,616.97	$11,016.65	$16,742.75
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8,336.10 / $14,335.11 / $17,470.70	Professional		$8,336.10	$14,335.11	$17,470.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $7,344.43 / $14,558.92 / $74,662.03	Facility		$7,344.43	$14,558.92	$74,662.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,769.23 / $9,727.87 / $15,852.88	Professional		$6,769.23	$9,727.87	$15,852.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $9,825.15	Professional		$50.00	$70.00	$9,825.15
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4,616.97 / $11,016.65 / $16,742.75	Facility		$4,616.97	$11,016.65	$16,742.75
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $8,336.10 / $14,335.11 / $17,470.70	Professional		$8,336.10	$14,335.11	$17,470.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14,558.92 / $22,405.71 / $42,911.19	Professional		$14,558.92	$22,405.71	$42,911.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,418.01 / $28,435.40 / $74,662.03	Facility		$9,418.01	$28,435.40	$74,662.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,875.15 / $9,418.01 / $95,185.18	Professional		$6,875.15	$9,418.01	$95,185.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14,558.92 / $14,558.92 / $14,558.92	Professional		$14,558.92	$14,558.92	$14,558.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14,558.92 / $14,558.92 / $14,558.92	Professional		$14,558.92	$14,558.92	$14,558.92
United Facility/Professional Facility Modifier Low / Median / High Price $7,164.85 / $7,164.85 / $7,164.85	Facility		$7,164.85	$7,164.85	$7,164.85
United Facility/Professional Professional Modifier Low / Median / High Price $5,800.09 / $9,535.51 / $14,558.92	Professional		$5,800.09	$9,535.51	$14,558.92