Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $986.82 / $2,055.42 / $14,482.00	Facility		$986.82	$2,055.42	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $952.05 / $1,022.61 / $4,131.96	Professional		$952.05	$1,022.61	$4,131.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $982.32 / $2,277.27 / $5,823.14	Professional		$982.32	$2,277.27	$5,823.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,594.32 / $3,031.67 / $4,650.66	Facility		$2,594.32	$3,031.67	$4,650.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,422.43 / $3,998.80 / $4,544.09	Professional		$1,422.43	$3,998.80	$4,544.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $986.82 / $1,330.04 / $2,283.80	Facility		$986.82	$1,330.04	$2,283.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $986.82 / $2,012.53 / $5,639.00	Facility		$986.82	$2,012.53	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,028.43 / $1,978.87 / $7,519.84	Professional		$1,028.43	$1,978.87	$7,519.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $596.38 / $1,890.39	Professional		$95.64	$596.38	$1,890.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $986.82 / $1,330.04 / $2,283.80	Facility		$986.82	$1,330.04	$2,283.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,022.80 / $2,464.69 / $3,679.32	Professional		$2,022.80	$2,464.69	$3,679.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $8,375.64	Facility		$2,469.60	$2,469.60	$8,375.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,870.86 / $4,919.00 / $7,519.84	Professional		$1,870.86	$4,919.00	$7,519.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,274.70 / $3,274.70 / $3,274.70	Professional		$3,274.70	$3,274.70	$3,274.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,705.32 / $5,013.68 / $6,363.83	Professional		$1,705.32	$5,013.68	$6,363.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.75 / $1,978.24 / $4,571.57	Professional		$1,028.75	$1,978.24	$4,571.57