Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,078.14 / $2,269.94 / $14,482.00	Facility		$1,078.14	$2,269.94	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,036.11 / $1,123.60 / $5,085.72	Professional		$1,036.11	$1,123.60	$5,085.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,064.31 / $2,488.02 / $6,632.77	Professional		$1,064.31	$2,488.02	$6,632.77
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 $2,862.86 / $3,345.48 / $5,132.05	Facility		$2,862.86	$3,345.48	$5,132.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,638.77 / $4,399.68 / $4,999.64	Professional		$1,638.77	$4,399.68	$4,999.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,078.14 / $1,563.69 / $2,522.15	Facility		$1,078.14	$1,563.69	$2,522.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,078.14 / $2,230.04 / $13,250.00	Facility		$1,078.14	$2,230.04	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,225.11 / $2,156.00 / $8,240.32	Professional		$1,225.11	$2,156.00	$8,240.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $641.93 / $2,088.96	Professional		$95.64	$641.93	$2,088.96
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,078.14 / $1,563.69 / $2,522.15	Facility		$1,078.14	$1,563.69	$2,522.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,211.94 / $2,695.18 / $4,023.37	Professional		$2,211.94	$2,695.18	$4,023.37
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 $2,058.42 / $5,319.80 / $8,240.32	Professional		$2,058.42	$5,319.80	$8,240.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,569.25 / $3,569.25 / $3,569.25	Professional		$3,569.25	$3,569.25	$3,569.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,700.09 / $5,485.46 / $7,001.83	Professional		$2,700.09	$5,485.46	$7,001.83
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 $1,212.17 / $2,156.00 / $4,841.02	Professional		$1,212.17	$2,156.00	$4,841.02