Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,474.47 / $6,474.47 / $6,474.47	Facility		$6,474.47	$6,474.47	$6,474.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,422.67 / $6,474.47 / $10,750.07	Professional		$4,422.67	$6,474.47	$10,750.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,834.42 / $14,117.86 / $23,358.64	Facility		$12,834.42	$14,117.86	$23,358.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,100.48 / $11,936.01 / $15,786.33	Professional		$11,100.48	$11,936.01	$15,786.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9,233.04 / $27,465.66 / $27,465.66	Facility		$9,233.04	$27,465.66	$27,465.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,302.44 / $26,533.62 / $53,572.51	Facility		$8,302.44	$26,533.62	$53,572.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,060.78 / $18,598.59 / $24,290.14	Professional		$6,060.78	$18,598.59	$24,290.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,419.40 / $9,711.70 / $14,759.58	Facility		$3,419.40	$9,711.70	$14,759.58
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7,348.67 / $10,616.81 / $15,401.30	Professional		$7,348.67	$10,616.81	$15,401.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,919.11 / $12,834.42 / $56,471.55	Facility		$5,919.11	$12,834.42	$56,471.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,781.29 / $7,978.59 / $13,975.09	Professional		$5,781.29	$7,978.59	$13,975.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $6,565.75	Professional		$50.00	$70.00	$6,565.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,419.40 / $9,711.70 / $14,759.58	Facility		$3,419.40	$9,711.70	$14,759.58
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7,348.67 / $10,616.81 / $15,401.30	Professional		$7,348.67	$10,616.81	$15,401.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12,834.42 / $19,751.72 / $31,781.16	Professional		$12,834.42	$19,751.72	$31,781.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,302.44 / $25,067.22 / $56,471.55	Facility		$8,302.44	$25,067.22	$56,471.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,060.78 / $8,302.44 / $69,145.86	Professional		$6,060.78	$8,302.44	$69,145.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,834.42 / $12,834.42 / $12,834.42	Professional		$12,834.42	$12,834.42	$12,834.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,834.42 / $12,834.42 / $12,834.42	Professional		$12,834.42	$12,834.42	$12,834.42
United Facility/Professional Professional Modifier Low / Median / High Price $4,413.84 / $7,598.66 / $11,379.19	Professional		$4,413.84	$7,598.66	$11,379.19