Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23,699.82 / $23,699.82 / $23,699.82	Facility		$23,699.82	$23,699.82	$23,699.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16,333.15 / $23,699.82 / $39,350.65	Professional		$16,333.15	$23,699.82	$39,350.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46,980.38 / $51,678.42 / $85,504.29	Facility		$46,980.38	$51,678.42	$85,504.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42,282.34 / $43,691.75 / $57,785.86	Professional		$42,282.34	$43,691.75	$57,785.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33,797.60 / $100,538.00 / $100,538.00	Facility		$33,797.60	$100,538.00	$100,538.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30,391.12 / $97,127.99 / $196,099.91	Facility		$30,391.12	$97,127.99	$196,099.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22,185.52 / $68,080.78 / $88,914.05	Professional		$22,185.52	$68,080.78	$88,914.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12,628.02 / $35,549.73 / $54,027.44	Facility		$12,628.02	$35,549.73	$54,027.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $26,899.86 / $43,487.11 / $56,376.46	Professional		$26,899.86	$43,487.11	$56,376.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $21,859.60 / $46,980.38 / $202,594.16	Facility		$21,859.60	$46,980.38	$202,594.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $21,162.45 / $29,465.37 / $51,155.85	Professional		$21,162.45	$29,465.37	$51,155.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $27,957.38	Professional		$50.00	$70.00	$27,957.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12,628.02 / $35,549.73 / $54,027.44	Facility		$12,628.02	$35,549.73	$54,027.44
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $26,899.86 / $43,487.11 / $56,376.46	Professional		$26,899.86	$43,487.11	$56,376.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46,980.38 / $72,301.27 / $117,367.66	Professional		$46,980.38	$72,301.27	$117,367.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30,391.12 / $91,758.56 / $202,594.16	Facility		$30,391.12	$91,758.56	$202,594.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22,185.52 / $30,391.12 / $242,681.77	Professional		$22,185.52	$30,391.12	$242,681.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $46,980.38 / $46,980.38 / $46,980.38	Professional		$46,980.38	$46,980.38	$46,980.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $46,980.38 / $46,980.38 / $46,980.38	Professional		$46,980.38	$46,980.38	$46,980.38
United Facility/Professional Professional Modifier Low / Median / High Price $16,300.55 / $26,080.87 / $41,653.56	Professional		$16,300.55	$26,080.87	$41,653.56