Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.53 / $2,258.69 / $14,482.00	Facility		$1,061.53	$2,258.69	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $942.87 / $1,113.18 / $4,266.39	Professional		$942.87	$1,113.18	$4,266.39
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 $1,046.27 / $2,449.69 / $6,522.04	Professional		$1,046.27	$2,449.69	$6,522.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10,161.84 / $10,161.84 / $10,161.84	Facility		$10,161.84	$10,161.84	$10,161.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,853.85 / $3,334.95 / $5,115.89	Facility		$2,853.85	$3,334.95	$5,115.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,613.58 / $4,373.09 / $4,969.43	Professional		$1,613.58	$4,373.09	$4,969.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,061.53 / $1,446.28 / $2,345.98	Facility		$1,061.53	$1,446.28	$2,345.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,061.53 / $2,158.30 / $13,250.00	Facility		$1,061.53	$2,158.30	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,192.30 / $2,113.63 / $8,172.08	Professional		$1,192.30	$2,113.63	$8,172.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $640.46 / $2,049.31	Professional		$125.82	$640.46	$2,049.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,061.53 / $1,382.13 / $2,345.98	Facility		$1,061.53	$1,382.13	$2,345.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,195.69 / $2,675.38 / $3,993.81	Professional		$2,195.69	$2,675.38	$3,993.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,459.53 / $9,459.53 / $26,112.45	Facility		$9,459.53	$9,459.53	$26,112.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,045.99 / $5,226.00 / $8,172.08	Professional		$2,045.99	$5,226.00	$8,172.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,509.66 / $3,509.66 / $3,509.66	Professional		$3,509.66	$3,509.66	$3,509.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,157.44 / $5,388.86 / $6,959.57	Professional		$3,157.44	$5,388.86	$6,959.57
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 $1,152.63 / $2,193.14 / $4,755.66	Professional		$1,152.63	$2,193.14	$4,755.66