Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.87 / $2,156.67 / $14,482.00	Facility		$1,023.87	$2,156.67	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $983.65 / $1,066.49 / $4,822.06	Professional		$983.65	$1,066.49	$4,822.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,010.43 / $2,099.77 / $6,294.78	Professional		$1,010.43	$2,099.77	$6,294.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22,533.34 / $22,533.34 / $22,533.34	Facility		$22,533.34	$22,533.34	$22,533.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,720.48 / $3,179.10 / $4,876.82	Facility		$2,720.48	$3,179.10	$4,876.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,537.41 / $4,178.64 / $4,748.45	Professional		$1,537.41	$4,178.64	$4,748.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,023.87 / $1,482.87 / $2,292.94	Facility		$1,023.87	$1,482.87	$2,292.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.87 / $2,145.40 / $13,250.00	Facility		$1,023.87	$2,145.40	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,140.13 / $2,038.69 / $7,823.44	Professional		$1,140.13	$2,038.69	$7,823.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $630.99 / $1,996.46	Professional		$95.64	$630.99	$1,996.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,023.87 / $1,482.87 / $2,292.94	Facility		$1,023.87	$1,482.87	$2,292.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,101.44 / $2,560.54 / $3,822.38	Professional		$2,101.44	$2,560.54	$3,822.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,058.63 / $20,058.63 / $55,370.65	Facility		$20,058.63	$20,058.63	$55,370.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,955.00 / $5,044.00 / $7,823.44	Professional		$1,955.00	$5,044.00	$7,823.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,387.36 / $3,387.36 / $3,387.36	Professional		$3,387.36	$3,387.36	$3,387.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,213.92 / $5,205.38 / $6,650.01	Professional		$3,213.92	$5,205.38	$6,650.01
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 $1,134.91 / $2,186.27 / $4,620.30	Professional		$1,134.91	$2,186.27	$4,620.30