Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,152.70 / $9,152.70 / $9,152.70	Facility		$9,152.70	$9,152.70	$9,152.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,214.43 / $9,152.70 / $15,196.95	Professional		$7,214.43	$9,152.70	$15,196.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18,143.50 / $19,957.84 / $33,021.17	Facility		$18,143.50	$19,957.84	$33,021.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16,329.15 / $16,873.46 / $22,316.50	Professional		$16,329.15	$16,873.46	$22,316.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13,052.40 / $38,827.08 / $38,827.08	Facility		$13,052.40	$38,827.08	$38,827.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,736.82 / $37,510.11 / $75,731.81	Facility		$11,736.82	$37,510.11	$75,731.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,567.87 / $26,292.19 / $34,337.99	Professional		$8,567.87	$26,292.19	$34,337.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5,478.66 / $13,729.07 / $20,865.03	Facility		$5,478.66	$13,729.07	$20,865.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $10,388.53 / $17,808.00 / $21,772.20	Professional		$10,388.53	$17,808.00	$21,772.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $9,152.70 / $18,143.50 / $87,176.00	Facility		$9,152.70	$18,143.50	$87,176.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8,435.89 / $12,122.97 / $19,756.03	Professional		$8,435.89	$12,122.97	$19,756.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $12,244.20	Professional		$50.00	$70.00	$12,244.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5,478.66 / $13,729.07 / $20,865.03	Facility		$5,478.66	$13,729.07	$20,865.03
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $10,388.53 / $17,808.00 / $21,772.20	Professional		$10,388.53	$17,808.00	$21,772.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18,143.50 / $27,922.25 / $50,919.71	Professional		$18,143.50	$27,922.25	$50,919.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,736.82 / $35,436.51 / $87,176.00	Facility		$11,736.82	$35,436.51	$87,176.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8,567.87 / $11,736.82 / $112,269.81	Professional		$8,567.87	$11,736.82	$112,269.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18,143.50 / $18,143.50 / $18,143.50	Professional		$18,143.50	$18,143.50	$18,143.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18,143.50 / $18,143.50 / $18,143.50	Professional		$18,143.50	$18,143.50	$18,143.50
United Facility/Professional Professional Modifier Low / Median / High Price $7,071.99 / $11,214.26 / $18,143.50	Professional		$7,071.99	$11,214.26	$18,143.50