Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,198.16 / $2,510.64 / $14,482.00	Facility		$1,198.16	$2,510.64	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,141.32 / $1,203.73 / $5,230.51	Professional		$1,141.32	$1,203.73	$5,230.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,260.00 / $2,764.97 / $7,624.39	Professional		$1,260.00	$2,764.97	$7,624.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,995.29 / $5,995.29 / $5,995.29	Facility		$5,995.29	$5,995.29	$5,995.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,149.41 / $3,680.34 / $5,645.74	Facility		$3,149.41	$3,680.34	$5,645.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,869.12 / $4,849.43 / $5,510.73	Professional		$1,869.12	$4,849.43	$5,510.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,198.16 / $1,785.04 / $2,647.93	Facility		$1,198.16	$1,785.04	$2,647.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,198.16 / $2,461.86 / $13,250.00	Facility		$1,198.16	$2,461.86	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,408.07 / $2,573.66 / $9,976.00	Professional		$1,408.07	$2,573.66	$9,976.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $709.56 / $2,262.26	Professional		$95.64	$709.56	$2,262.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,198.16 / $1,764.00 / $2,647.93	Facility		$1,198.16	$1,764.00	$2,647.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,379.65 / $2,899.51 / $4,328.39	Professional		$2,379.65	$2,899.51	$4,328.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,994.41 / $5,994.41 / $16,547.20	Facility		$5,994.41	$5,994.41	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,268.84 / $6,226.80 / $9,976.00	Professional		$2,268.84	$6,226.80	$9,976.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,046.38 / $6,395.24 / $7,717.63	Professional		$2,046.38	$6,395.24	$7,717.63
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,385.40 / $2,560.12 / $5,666.39	Professional		$1,385.40	$2,560.12	$5,666.39