Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,110.22 / $5,110.22 / $5,110.22	Facility		$5,110.22	$5,110.22	$5,110.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,859.53 / $5,110.22 / $8,484.91	Professional		$3,859.53	$5,110.22	$8,484.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,130.04 / $11,143.06 / $18,436.68	Facility		$10,130.04	$11,143.06	$18,436.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,761.48 / $9,420.95 / $12,459.96	Professional		$8,761.48	$9,420.95	$12,459.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,287.54 / $21,678.31 / $21,678.31	Facility		$7,287.54	$21,678.31	$21,678.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,553.03 / $20,942.66 / $42,283.63	Facility		$6,553.03	$20,942.66	$42,283.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,783.71 / $14,679.84 / $19,171.91	Professional		$4,783.71	$14,679.84	$19,171.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,920.30 / $7,665.35 / $11,649.56	Facility		$2,920.30	$7,665.35	$11,649.56
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5,800.23 / $9,412.03 / $12,156.06	Professional		$5,800.23	$9,412.03	$12,156.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $5,055.16 / $10,130.04 / $46,975.22	Facility		$5,055.16	$10,130.04	$46,975.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,563.10 / $6,768.63 / $11,030.38	Professional		$4,563.10	$6,768.63	$11,030.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $4,830.02	Professional		$50.00	$70.00	$4,830.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,920.30 / $7,665.35 / $11,649.56	Facility		$2,920.30	$7,665.35	$11,649.56
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $5,800.23 / $9,412.03 / $12,156.06	Professional		$5,800.23	$9,412.03	$12,156.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10,130.04 / $15,589.82 / $27,142.06	Professional		$10,130.04	$15,589.82	$27,142.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,553.03 / $19,785.25 / $46,975.22	Facility		$6,553.03	$19,785.25	$46,975.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,783.71 / $6,553.03 / $59,843.37	Professional		$4,783.71	$6,553.03	$59,843.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,130.04 / $10,130.04 / $10,130.04	Professional		$10,130.04	$10,130.04	$10,130.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,130.04 / $10,130.04 / $10,130.04	Professional		$10,130.04	$10,130.04	$10,130.04
United Facility/Professional Professional Modifier Low / Median / High Price $4,023.88 / $6,078.03 / $8,981.46	Professional		$4,023.88	$6,078.03	$8,981.46