Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,028.47 / $3,859.67 / $14,681.76	Facility		$1,028.47	$3,859.67	$14,681.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.28 / $1,097.80 / $4,861.64	Professional		$924.28	$1,097.80	$4,861.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $13,743.77 / $21,606.00	Facility		$9,287.00	$13,743.77	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,006.29 / $2,373.39 / $6,325.25	Professional		$1,006.29	$2,373.39	$6,325.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,560.77 / $7,560.77 / $7,560.77	Facility		$7,560.77	$7,560.77	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,730.39 / $3,190.68 / $4,894.59	Facility		$2,730.39	$3,190.68	$4,894.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,575.99 / $4,197.10 / $4,769.43	Professional		$1,575.99	$4,197.10	$4,769.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,028.47 / $1,542.71 / $2,406.28	Facility		$1,028.47	$1,542.71	$2,406.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,028.47 / $2,126.61 / $13,250.00	Facility		$1,028.47	$2,126.61	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,170.93 / $2,060.27 / $7,864.16	Professional		$1,170.93	$2,060.27	$7,864.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $641.93 / $2,057.86	Professional		$95.64	$641.93	$2,057.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,028.47 / $1,542.71 / $2,406.28	Facility		$1,028.47	$1,542.71	$2,406.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,111.19 / $2,572.42 / $3,840.11	Professional		$2,111.19	$2,572.42	$3,840.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,963.64 / $5,085.39 / $7,864.16	Professional		$1,963.64	$5,085.39	$7,864.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,403.75 / $3,403.75 / $3,403.75	Professional		$3,403.75	$3,403.75	$3,403.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,700.09 / $5,234.72 / $6,679.40	Professional		$2,700.09	$5,234.72	$6,679.40
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 $1,118.79 / $2,146.38 / $4,627.71	Professional		$1,118.79	$2,146.38	$4,627.71