Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56,930.49 / $56,930.49 / $56,930.49	Facility		$56,930.49	$56,930.49	$56,930.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55,272.31 / $55,272.32 / $60,799.56	Professional		$55,272.31	$55,272.32	$60,799.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102,253.79 / $118,835.49 / $123,257.27	Facility		$102,253.79	$118,835.49	$123,257.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55,272.32 / $55,272.32 / $82,908.48	Professional		$55,272.32	$55,272.32	$82,908.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81,803.03 / $88,435.71 / $101,308.90	Facility		$81,803.03	$88,435.71	$101,308.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55,272.32 / $83,645.00 / $153,062.71	Facility		$55,272.32	$83,645.00	$153,062.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55,272.32 / $66,721.08 / $94,685.40	Professional		$55,272.32	$66,721.08	$94,685.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51,939.10 / $55,945.97 / $66,326.78	Facility		$51,939.10	$55,945.97	$66,326.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $46,374.20 / $55,945.97 / $69,932.46	Facility		$46,374.20	$55,945.97	$69,932.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $55,945.97 / $62,279.61 / $245,198.88	Professional		$55,945.97	$62,279.61	$245,198.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $85.00 / $55,945.97	Professional		$58.40	$85.00	$55,945.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $39,164.32 / $55,945.97 / $66,326.78	Facility		$39,164.32	$55,945.97	$66,326.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55,272.32 / $70,553.70 / $171,692.00	Professional		$55,272.32	$70,553.70	$171,692.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $55,272.32 / $66,147.00 / $285,085.50	Facility		$55,272.32	$66,147.00	$285,085.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55,272.32 / $102,166.19 / $245,198.88	Professional		$55,272.32	$102,166.19	$245,198.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53,270.37 / $77,602.34 / $77,602.34	Professional		$53,270.37	$77,602.34	$77,602.34
United Facility/Professional Professional Modifier Low / Median / High Price $55,272.32 / $58,035.94 / $66,326.78	Professional		$55,272.32	$58,035.94	$66,326.78