Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $2,042.62 / $14,482.00	Facility		$969.00	$2,042.62	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $930.32 / $1,010.00 / $4,558.21	Professional		$930.32	$1,010.00	$4,558.21
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 $955.34 / $2,236.16 / $5,956.54	Professional		$955.34	$2,236.16	$5,956.54
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 $2,577.19 / $3,011.67 / $4,619.97	Facility		$2,577.19	$3,011.67	$4,619.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,458.22 / $3,956.05 / $4,495.51	Professional		$1,458.22	$3,956.05	$4,495.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $1,427.85 / $2,141.48	Facility		$969.00	$1,427.85	$2,141.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $2,008.66 / $15,090.00	Facility		$969.00	$2,008.66	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,093.85 / $1,925.79 / $7,402.16	Professional		$1,093.85	$1,925.79	$7,402.16
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 $969.00 / $1,404.38 / $2,141.48	Facility		$969.00	$1,404.38	$2,141.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,989.00 / $2,423.52 / $3,617.84	Professional		$1,989.00	$2,423.52	$3,617.84
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 $1,850.86 / $4,768.00 / $7,402.16	Professional		$1,850.86	$4,768.00	$7,402.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,205.36 / $3,205.36 / $3,205.36	Professional		$3,205.36	$3,205.36	$3,205.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,842.20 / $4,923.29 / $6,295.84	Professional		$2,842.20	$4,923.29	$6,295.84
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,090.36 / $1,945.34 / $4,338.88	Professional		$1,090.36	$1,945.34	$4,338.88