Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,726.05 / $7,726.05 / $7,726.05	Facility		$7,726.05	$7,726.05	$7,726.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,764.35 / $7,726.05 / $13,649.91	Professional		$6,764.35	$7,726.05	$13,649.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,315.43 / $16,846.97 / $27,874.08	Facility		$15,315.43	$16,846.97	$27,874.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13,246.31 / $14,243.35 / $18,837.97	Professional		$13,246.31	$14,243.35	$18,837.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11,017.89 / $32,775.01 / $32,775.01	Facility		$11,017.89	$32,775.01	$32,775.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,907.40 / $31,663.05 / $63,927.88	Facility		$9,907.40	$31,663.05	$63,927.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,232.40 / $22,193.91 / $28,985.64	Professional		$7,232.40	$22,193.91	$28,985.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,656.56 / $11,589.08 / $17,612.74	Facility		$4,656.56	$11,589.08	$17,612.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $8,769.26 / $15,315.43 / $18,378.52	Professional		$8,769.26	$15,315.43	$18,378.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $7,726.05 / $15,315.43 / $75,302.32	Facility		$7,726.05	$15,315.43	$75,302.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $7,120.97 / $10,233.36 / $16,676.61	Professional		$7,120.97	$10,233.36	$16,676.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $10,335.69	Professional		$50.00	$70.00	$10,335.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4,656.56 / $11,589.08 / $17,612.74	Facility		$4,656.56	$11,589.08	$17,612.74
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $8,769.26 / $15,315.43 / $18,378.52	Professional		$8,769.26	$15,315.43	$18,378.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15,315.43 / $23,569.95 / $43,279.54	Professional		$15,315.43	$23,569.95	$43,279.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,907.40 / $29,912.94 / $75,302.32	Facility		$9,907.40	$29,912.94	$75,302.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,232.40 / $9,907.40 / $96,001.40	Professional		$7,232.40	$9,907.40	$96,001.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15,315.43 / $15,315.43 / $15,315.43	Professional		$15,315.43	$15,315.43	$15,315.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15,315.43 / $15,315.43 / $15,315.43	Professional		$15,315.43	$15,315.43	$15,315.43
United Facility/Professional Professional Modifier Low / Median / High Price $6,010.80 / $9,617.28 / $13,578.90	Professional		$6,010.80	$9,617.28	$13,578.90