Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,798.56 / $10,798.56 / $10,798.56	Facility		$10,798.56	$10,798.56	$10,798.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,221.77 / $10,798.56 / $17,929.68	Professional		$8,221.77	$10,798.56	$17,929.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,406.09 / $23,546.70 / $38,959.08	Facility		$21,406.09	$23,546.70	$38,959.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19,907.66 / $19,907.66 / $26,329.49	Professional		$19,907.66	$19,907.66	$26,329.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15,399.50 / $45,809.03 / $45,809.03	Facility		$15,399.50	$45,809.03	$45,809.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,847.37 / $44,254.93 / $89,350.96	Facility		$13,847.37	$44,254.93	$89,350.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,108.58 / $31,020.00 / $40,512.69	Professional		$10,108.58	$31,020.00	$40,512.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6,177.51 / $16,197.84 / $24,617.00	Facility		$6,177.51	$16,197.84	$24,617.00
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $12,256.62 / $21,406.09 / $25,687.31	Professional		$12,256.62	$21,406.09	$25,687.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $10,693.52 / $21,406.09 / $99,695.00	Facility		$10,693.52	$21,406.09	$99,695.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9,642.43 / $14,302.95 / $23,308.59	Professional		$9,642.43	$14,302.95	$23,308.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $14,445.98	Professional		$50.00	$70.00	$14,445.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6,177.51 / $16,197.84 / $24,617.00	Facility		$6,177.51	$16,197.84	$24,617.00
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $12,256.62 / $21,406.09 / $25,687.31	Professional		$12,256.62	$21,406.09	$25,687.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21,406.09 / $32,943.25 / $57,415.65	Professional		$21,406.09	$32,943.25	$57,415.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,847.37 / $41,808.76 / $99,695.00	Facility		$13,847.37	$41,808.76	$99,695.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10,108.58 / $13,847.37 / $114,727.09	Professional		$10,108.58	$13,847.37	$114,727.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21,406.09 / $21,406.09 / $21,406.09	Professional		$21,406.09	$21,406.09	$21,406.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21,406.09 / $21,406.09 / $21,406.09	Professional		$21,406.09	$21,406.09	$21,406.09
United Facility/Professional Professional Modifier Low / Median / High Price $7,974.08 / $12,758.53 / $18,978.98	Professional		$7,974.08	$12,758.53	$18,978.98