Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,069.43 / $2,258.69 / $14,482.00	Facility		$1,069.43	$2,258.69	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $944.47 / $1,132.07 / $4,768.00	Professional		$944.47	$1,132.07	$4,768.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $15,141.00 / $22,609.00	Facility		$9,287.00	$15,141.00	$22,609.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.48 / $2,467.92 / $6,563.01	Professional		$1,047.48	$2,467.92	$6,563.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14,551.22 / $14,551.22 / $14,551.22	Facility		$14,551.22	$14,551.22	$14,551.22
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 $1,069.43 / $1,466.47 / $2,509.65	Facility		$1,069.43	$1,466.47	$2,509.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,069.43 / $2,206.37 / $13,250.00	Facility		$1,069.43	$2,206.37	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,188.92 / $2,113.63 / $8,172.08	Professional		$1,188.92	$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 $1,069.43 / $1,466.47 / $2,509.65	Facility		$1,069.43	$1,466.47	$2,509.65
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 $13,629.66 / $13,629.66 / $37,623.85	Facility		$13,629.66	$13,629.66	$37,623.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,045.99 / $5,238.75 / $8,172.08	Professional		$2,045.99	$5,238.75	$8,172.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,531.72 / $3,531.72 / $3,531.72	Professional		$3,531.72	$3,531.72	$3,531.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,486.92 / $5,420.52 / $6,959.57	Professional		$2,486.92	$5,420.52	$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 $1,157.59 / $2,095.50 / $4,767.26	Professional		$1,157.59	$2,095.50	$4,767.26