Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,059.20 / $2,214.83 / $14,482.00	Facility		$1,059.20	$2,214.83	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,090.38 / $4,183.57	Professional		$1,047.13	$1,090.38	$4,183.57
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 $1,075.83 / $2,424.04 / $6,549.39	Professional		$1,075.83	$2,424.04	$6,549.39
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 $2,805.19 / $3,278.08 / $5,028.66	Facility		$2,805.19	$3,278.08	$5,028.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,580.48 / $4,298.21 / $4,884.33	Professional		$1,580.48	$4,298.21	$4,884.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,059.20 / $1,473.45 / $2,460.92	Facility		$1,059.20	$1,473.45	$2,460.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,059.20 / $2,182.10 / $13,250.00	Facility		$1,059.20	$2,182.10	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,157.68 / $2,176.42 / $10,050.27	Professional		$1,157.68	$2,176.42	$10,050.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $635.78 / $2,049.31	Professional		$125.82	$635.78	$2,049.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,059.20 / $1,473.45 / $2,460.92	Facility		$1,059.20	$1,473.45	$2,460.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,140.44 / $2,608.06 / $3,893.31	Professional		$2,140.44	$2,608.06	$3,893.31
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 $2,010.95 / $5,333.10 / $10,050.27	Professional		$2,010.95	$5,333.10	$10,050.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,512.92 / $3,512.92 / $3,512.92	Professional		$3,512.92	$3,512.92	$3,512.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,300.59 / $5,454.33 / $6,840.34	Professional		$3,300.59	$5,454.33	$6,840.34
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,141.58 / $2,176.42 / $4,853.12	Professional		$1,141.58	$2,176.42	$4,853.12