Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.77 / $4,123.81 / $14,842.20	Facility		$778.77	$4,123.81	$14,842.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $778.77 / $3,453.61 / $8,327.90	Professional		$778.77	$3,453.61	$8,327.90
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 $1,007.07 / $2,298.46 / $5,462.63	Professional		$1,007.07	$2,298.46	$5,462.63
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 $11,121.62 / $12,996.50 / $19,936.96	Facility		$11,121.62	$12,996.50	$19,936.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,328.50 / $3,619.26 / $18,775.40	Professional		$1,328.50	$3,619.26	$18,775.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $769.26 / $1,847.10 / $7,957.77	Facility		$769.26	$1,847.10	$7,957.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $778.77 / $3,701.29 / $12,855.00	Facility		$778.77	$3,701.29	$12,855.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,445.88 / $8,816.68 / $29,962.16	Professional		$3,445.88	$8,816.68	$29,962.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $379.26 / $2,286.63 / $7,433.18	Professional		$379.26	$2,286.63	$7,433.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $778.77 / $1,847.10 / $7,957.77	Facility		$778.77	$1,847.10	$7,957.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,837.34 / $4,308.85 / $13,466.79	Professional		$1,837.34	$4,308.85	$13,466.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,299.89 / $7,299.89 / $7,922.50	Facility		$7,299.89	$7,299.89	$7,922.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,879.02 / $15,044.93 / $29,962.16	Professional		$1,879.02	$15,044.93	$29,962.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,355.38 / $5,068.67 / $26,294.36	Professional		$3,355.38	$5,068.67	$26,294.36
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 $3,615.38 / $7,791.35 / $18,273.53	Professional		$3,615.38	$7,791.35	$18,273.53