Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24,401.22 / $24,401.22 / $24,401.22	Facility		$24,401.22	$24,401.22	$24,401.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20,259.07 / $24,401.22 / $40,881.19	Professional		$20,259.07	$24,401.22	$40,881.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48,370.76 / $53,207.84 / $88,034.78	Facility		$48,370.76	$53,207.84	$88,034.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43,093.09 / $44,984.81 / $59,496.03	Professional		$43,093.09	$44,984.81	$59,496.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34,797.83 / $103,513.40 / $103,513.40	Facility		$34,797.83	$103,513.40	$103,513.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31,290.51 / $106,798.51 / $201,903.90	Facility		$31,290.51	$106,798.51	$201,903.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22,842.07 / $71,217.00 / $91,545.44	Professional		$22,842.07	$71,217.00	$91,545.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13,917.11 / $36,601.83 / $55,626.37	Facility		$13,917.11	$36,601.83	$55,626.37
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $27,695.93 / $47,211.27 / $58,044.91	Professional		$27,695.93	$47,211.27	$58,044.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $24,091.06 / $48,370.76 / $225,247.51	Facility		$24,091.06	$48,370.76	$225,247.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $22,087.33 / $32,319.99 / $52,669.79	Professional		$22,087.33	$32,319.99	$52,669.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13,917.11 / $36,601.83 / $55,626.37	Facility		$13,917.11	$36,601.83	$55,626.37
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $27,695.93 / $47,211.27 / $58,044.91	Professional		$27,695.93	$47,211.27	$58,044.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48,370.76 / $74,440.97 / $129,348.83	Professional		$48,370.76	$74,440.97	$129,348.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31,290.51 / $94,474.14 / $225,247.51	Facility		$31,290.51	$94,474.14	$225,247.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22,842.07 / $31,290.51 / $243,527.58	Professional		$22,842.07	$31,290.51	$243,527.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $48,370.76 / $48,370.76 / $48,370.76	Professional		$48,370.76	$48,370.76	$48,370.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $48,370.76 / $48,370.76 / $48,370.76	Professional		$48,370.76	$48,370.76	$48,370.76
United Facility/Professional Professional Modifier Low / Median / High Price $17,964.53 / $29,022.46 / $42,886.29	Professional		$17,964.53	$29,022.46	$42,886.29