Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,851.24 / $3,851.24 / $3,851.24	Facility		$3,851.24	$3,851.24	$3,851.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,674.55 / $3,851.24 / $7,414.93	Professional		$3,674.55	$3,851.24	$7,414.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,634.35 / $8,397.79 / $13,894.52	Facility		$7,634.35	$8,397.79	$13,894.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,099.95 / $7,099.95 / $9,390.25	Professional		$7,099.95	$7,099.95	$9,390.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,492.12 / $16,337.51 / $16,337.51	Facility		$5,492.12	$16,337.51	$16,337.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,938.58 / $15,783.21 / $31,866.67	Facility		$4,938.58	$15,783.21	$31,866.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,605.16 / $11,062.97 / $14,448.60	Professional		$3,605.16	$11,062.97	$14,448.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,295.27 / $5,776.86 / $8,779.50	Facility		$2,295.27	$5,776.86	$8,779.50
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4,371.25 / $7,185.54 / $9,161.21	Professional		$4,371.25	$7,185.54	$9,161.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,851.24 / $7,634.35 / $37,094.85	Facility		$3,851.24	$7,634.35	$37,094.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,549.62 / $5,101.06 / $8,312.86	Professional		$3,549.62	$5,101.06	$8,312.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $4,426.58	Professional		$50.00	$70.00	$4,426.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,295.27 / $5,776.86 / $8,779.50	Facility		$2,295.27	$5,776.86	$8,779.50
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4,371.25 / $7,185.54 / $9,161.21	Professional		$4,371.25	$7,185.54	$9,161.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7,634.35 / $11,748.99 / $21,332.64	Professional		$7,634.35	$11,748.99	$21,332.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,938.58 / $14,910.84 / $37,094.85	Facility		$4,938.58	$14,910.84	$37,094.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,605.16 / $4,938.58 / $47,035.20	Professional		$3,605.16	$4,938.58	$47,035.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,634.35 / $7,634.35 / $7,634.35	Professional		$7,634.35	$7,634.35	$7,634.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,634.35 / $7,634.35 / $7,634.35	Professional		$7,634.35	$7,634.35	$7,634.35
United Facility/Professional Professional Modifier Low / Median / High Price $3,041.42 / $5,078.25 / $7,634.35	Professional		$3,041.42	$5,078.25	$7,634.35