Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,373.31 / $13,712.61 / $57,737.37	Facility		$7,373.31	$13,712.61	$57,737.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,572.12 / $11,924.01 / $19,798.34	Professional		$9,572.12	$11,924.01	$19,798.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23,637.07 / $26,000.78 / $43,019.47	Facility		$23,637.07	$26,000.78	$43,019.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20,443.70 / $21,982.48 / $29,073.59	Professional		$20,443.70	$21,982.48	$29,073.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17,004.46 / $50,583.33 / $50,583.33	Facility		$17,004.46	$50,583.33	$50,583.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,034.23 / $63,525.36 / $98,663.66	Facility		$13,034.23	$63,525.36	$98,663.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,079.10 / $34,801.01 / $44,735.01	Professional		$11,079.10	$34,801.01	$44,735.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6,718.30 / $17,886.02 / $27,182.63	Facility		$6,718.30	$17,886.02	$27,182.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $13,534.01 / $23,637.07 / $28,364.48	Professional		$13,534.01	$23,637.07	$28,364.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $11,629.64 / $23,637.07 / $100,282.95	Facility		$11,629.64	$23,637.07	$100,282.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $10,647.38 / $15,676.03 / $25,737.86	Professional		$10,647.38	$15,676.03	$25,737.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $17,262.95	Professional		$50.00	$70.00	$17,262.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6,718.30 / $17,886.02 / $27,182.63	Facility		$6,718.30	$17,886.02	$27,182.63
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $13,534.01 / $23,637.07 / $28,364.48	Professional		$13,534.01	$23,637.07	$28,364.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23,637.07 / $36,376.65 / $62,441.18	Professional		$23,637.07	$36,376.65	$62,441.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,034.23 / $46,166.16 / $100,282.95	Facility		$13,034.23	$46,166.16	$100,282.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11,079.10 / $13,034.23 / $116,045.60	Professional		$11,079.10	$13,034.23	$116,045.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23,637.07 / $23,637.07 / $23,637.07	Professional		$23,637.07	$23,637.07	$23,637.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23,637.07 / $23,637.07 / $23,637.07	Professional		$23,637.07	$23,637.07	$23,637.07
United Facility/Professional Professional Modifier Low / Median / High Price $8,672.14 / $13,875.42 / $20,272.47	Professional		$8,672.14	$13,875.42	$20,272.47