Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,609.94 / $3,340.42 / $14,482.00	Facility		$1,609.94	$3,340.42	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,553.19 / $1,643.07 / $7,589.02	Professional		$1,553.19	$1,643.07	$7,589.02
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 $1,602.69 / $3,715.26 / $9,961.84	Professional		$1,602.69	$3,715.26	$9,961.84
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 $4,244.28 / $4,959.77 / $7,608.42	Facility		$4,244.28	$4,959.77	$7,608.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,461.91 / $6,530.30 / $7,420.80	Professional		$2,461.91	$6,530.30	$7,420.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,609.94 / $2,243.77 / $3,711.58	Facility		$1,609.94	$2,243.77	$3,711.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,609.94 / $3,330.05 / $13,250.00	Facility		$1,609.94	$3,330.05	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,792.39 / $3,367.10 / $16,240.27	Professional		$1,792.39	$3,367.10	$16,240.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.95 / $975.24 / $3,129.43	Professional		$158.95	$975.24	$3,129.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,609.94 / $2,235.26 / $3,711.58	Facility		$1,609.94	$2,235.26	$3,711.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,200.60 / $3,899.81 / $5,821.65	Professional		$3,200.60	$3,899.81	$5,821.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,597.71 / $7,597.71 / $20,973.00	Facility		$7,597.71	$7,597.71	$20,973.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,055.25 / $7,938.30 / $16,240.27	Professional		$3,055.25	$7,938.30	$16,240.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,335.69 / $5,335.69 / $5,335.69	Professional		$5,335.69	$5,335.69	$5,335.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,645.40 / $8,173.20 / $10,392.60	Professional		$5,645.40	$8,173.20	$10,392.60
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 $1,792.39 / $3,271.71 / $7,223.85	Professional		$1,792.39	$3,271.71	$7,223.85