Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.74 / $2,052.67 / $14,482.00	Facility		$973.74	$2,052.67	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $934.92 / $1,015.15 / $4,581.39	Professional		$934.92	$1,015.15	$4,581.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $959.59 / $2,247.08 / $5,986.02	Professional		$959.59	$2,247.08	$5,986.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32,596.04 / $32,596.04 / $32,596.04	Facility		$32,596.04	$32,596.04	$32,596.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,589.82 / $3,026.41 / $4,642.59	Facility		$2,589.82	$3,026.41	$4,642.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,482.15 / $3,975.25 / $4,517.33	Professional		$1,482.15	$3,975.25	$4,517.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $973.74 / $1,460.56 / $2,310.00	Facility		$973.74	$1,460.56	$2,310.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $973.74 / $2,032.59 / $19,562.00	Facility		$973.74	$2,032.59	$19,562.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,102.72 / $1,935.03 / $7,438.56	Professional		$1,102.72	$1,935.03	$7,438.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $591.07 / $1,882.18	Professional		$66.47	$591.07	$1,882.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $973.74 / $1,460.56 / $2,310.00	Facility		$973.74	$1,460.56	$2,310.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,999.40 / $2,436.19 / $3,636.75	Professional		$1,999.40	$2,436.19	$3,636.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28,841.67 / $28,841.67 / $79,615.70	Facility		$28,841.67	$28,841.67	$79,615.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,859.84 / $4,792.25 / $7,438.56	Professional		$1,859.84	$4,792.25	$7,438.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,221.21 / $3,221.21 / $3,221.21	Professional		$3,221.21	$3,221.21	$3,221.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,058.94 / $4,947.22 / $6,326.34	Professional		$3,058.94	$4,947.22	$6,326.34
United Facility/Professional Facility Modifier Low / Median / High Price $7,775.00 / $14,249.00 / $19,562.00	Facility		$7,775.00	$14,249.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,057.91 / $2,017.50 / $4,360.95	Professional		$1,057.91	$2,017.50	$4,360.95