Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,211.45 / $2,545.11 / $14,482.00	Facility		$1,211.45	$2,545.11	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,164.05 / $1,258.34 / $5,735.67	Professional		$1,164.05	$1,258.34	$5,735.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,206.77 / $2,422.90 / $7,111.79	Professional		$1,206.77	$2,422.90	$7,111.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,206.19 / $3,746.68 / $5,747.50	Facility		$3,206.19	$3,746.68	$5,747.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,577.87 / $4,930.41 / $5,602.74	Professional		$1,577.87	$4,930.41	$5,602.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $919.99 / $1,417.40 / $2,568.27	Facility		$919.99	$1,417.40	$2,568.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,131.16 / $1,970.99 / $11,100.00	Facility		$1,131.16	$1,970.99	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $777.17 / $2,411.86 / $9,240.71	Professional		$777.17	$2,411.86	$9,240.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $758.76 / $2,388.97	Professional		$126.60	$758.76	$2,388.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $919.99 / $1,357.39 / $2,568.27	Facility		$919.99	$1,357.39	$2,568.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,482.35 / $3,024.65 / $4,515.20	Professional		$2,482.35	$3,024.65	$4,515.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $11,737.44	Facility		$3,244.77	$3,244.77	$11,737.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,306.71 / $5,999.65 / $9,240.71	Professional		$2,306.71	$5,999.65	$9,240.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,999.41 / $3,999.41 / $3,999.41	Professional		$3,999.41	$3,999.41	$3,999.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,520.58 / $6,175.42 / $7,846.41	Professional		$1,520.58	$6,175.42	$7,846.41
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $921.09 / $2,427.98 / $5,279.69	Professional		$921.09	$2,427.98	$5,279.69