Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.32 / $2,103.01 / $14,482.00	Facility		$1,004.32	$2,103.01	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $956.19 / $1,004.32 / $4,764.85	Professional		$956.19	$1,004.32	$4,764.85
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 $1,001.99 / $2,317.66 / $5,960.24	Professional		$1,001.99	$2,317.66	$5,960.24
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 $2,661.91 / $3,110.65 / $4,771.82	Facility		$2,661.91	$3,110.65	$4,771.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,459.39 / $4,074.20 / $4,629.78	Professional		$1,459.39	$4,074.20	$4,629.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $993.48 / $1,427.41 / $2,336.67	Facility		$993.48	$1,427.41	$2,336.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,004.32 / $2,080.92 / $13,250.00	Facility		$1,004.32	$2,080.92	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,105.47 / $2,005.92 / $11,315.02	Professional		$1,105.47	$2,005.92	$11,315.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $584.80 / $1,913.12	Professional		$65.66	$584.80	$1,913.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $993.48 / $1,427.41 / $2,336.67	Facility		$993.48	$1,427.41	$2,336.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,982.50 / $2,415.60 / $3,606.02	Professional		$1,982.50	$2,415.60	$3,606.02
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 $1,906.13 / $4,984.14 / $11,315.02	Professional		$1,906.13	$4,984.14	$11,315.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,326.84 / $3,326.84 / $3,326.84	Professional		$3,326.84	$3,326.84	$3,326.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,363.20 / $5,110.60 / $6,483.82	Professional		$3,363.20	$5,110.60	$6,483.82
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 $1,086.50 / $2,013.90 / $4,535.58	Professional		$1,086.50	$2,013.90	$4,535.58