Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,796.95 / $9,796.95 / $9,796.95	Facility		$9,796.95	$9,796.95	$9,796.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,517.55 / $9,796.95 / $16,266.65	Professional		$7,517.55	$9,796.95	$16,266.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,420.61 / $21,362.67 / $35,345.51	Facility		$19,420.61	$21,362.67	$35,345.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16,796.88 / $18,061.16 / $23,887.35	Professional		$16,796.88	$18,061.16	$23,887.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13,971.14 / $41,560.11 / $41,560.11	Facility		$13,971.14	$41,560.11	$41,560.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,562.99 / $40,150.81 / $81,062.75	Facility		$12,562.99	$40,150.81	$81,062.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,170.98 / $28,142.81 / $36,755.03	Professional		$9,170.98	$28,142.81	$36,755.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5,638.05 / $14,695.44 / $22,333.70	Facility		$5,638.05	$14,695.44	$22,333.70
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $11,119.78 / $18,860.04 / $23,304.73	Professional		$11,119.78	$18,860.04	$23,304.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $9,759.69 / $19,420.61 / $90,961.51	Facility		$9,759.69	$19,420.61	$90,961.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $8,748.07 / $12,976.31 / $21,146.65	Professional		$8,748.07	$12,976.31	$21,146.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $13,106.07	Professional		$50.00	$70.00	$13,106.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5,638.05 / $14,695.44 / $22,333.70	Facility		$5,638.05	$14,695.44	$22,333.70
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $11,119.78 / $18,860.04 / $23,304.73	Professional		$11,119.78	$18,860.04	$23,304.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19,420.61 / $29,887.65 / $52,401.17	Professional		$19,420.61	$29,887.65	$52,401.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,562.99 / $37,930.87 / $90,961.51	Facility		$12,562.99	$37,930.87	$90,961.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9,170.98 / $12,562.99 / $114,114.63	Professional		$9,170.98	$12,562.99	$114,114.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19,420.61 / $19,420.61 / $19,420.61	Professional		$19,420.61	$19,420.61	$19,420.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19,420.61 / $19,420.61 / $19,420.61	Professional		$19,420.61	$19,420.61	$19,420.61
United Facility/Professional Professional Modifier Low / Median / High Price $6,838.06 / $11,644.36 / $16,656.20	Professional		$6,838.06	$11,644.36	$16,656.20