Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,021.83 / $2,154.10 / $14,482.00	Facility		$1,021.83	$2,154.10	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $981.13 / $1,065.10 / $4,808.14	Professional		$981.13	$1,065.10	$4,808.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $15,055.00 / $22,609.00	Facility		$8,139.00	$15,055.00	$22,609.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,008.23 / $2,358.07 / $6,280.52	Professional		$1,008.23	$2,358.07	$6,280.52
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 $2,718.68 / $3,176.99 / $4,873.59	Facility		$2,718.68	$3,176.99	$4,873.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,536.40 / $4,173.63 / $4,742.76	Professional		$1,536.40	$4,173.63	$4,742.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,021.83 / $1,492.68 / $2,258.23	Facility		$1,021.83	$1,492.68	$2,258.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,021.83 / $2,112.00 / $13,250.00	Facility		$1,021.83	$2,112.00	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,147.18 / $2,033.70 / $7,810.16	Professional		$1,147.18	$2,033.70	$7,810.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $627.36 / $1,996.46	Professional		$95.64	$627.36	$1,996.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,021.83 / $1,481.12 / $2,258.23	Facility		$1,021.83	$1,481.12	$2,258.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,097.55 / $2,555.78 / $3,815.28	Professional		$2,097.55	$2,555.78	$3,815.28
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 $1,952.66 / $5,029.45 / $7,810.16	Professional		$1,952.66	$5,029.45	$7,810.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,379.71 / $3,379.71 / $3,379.71	Professional		$3,379.71	$3,379.71	$3,379.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,202.71 / $5,233.20 / $6,642.06	Professional		$2,202.71	$5,233.20	$6,642.06
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,129.04 / $2,033.70 / $4,801.62	Professional		$1,129.04	$2,033.70	$4,801.62