Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.47 / $2,113.65 / $14,482.00	Facility		$1,002.47	$2,113.65	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.62 / $1,041.55 / $4,726.18	Professional		$961.62	$1,041.55	$4,726.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $13,743.77 / $21,606.00	Facility		$8,139.00	$13,743.77	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $988.95 / $2,313.39 / $6,165.35	Professional		$988.95	$2,313.39	$6,165.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,560.77 / $7,560.77 / $7,560.77	Facility		$7,560.77	$7,560.77	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,668.22 / $3,118.02 / $4,783.13	Facility		$2,668.22	$3,118.02	$4,783.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,510.69 / $4,094.89 / $4,653.29	Professional		$1,510.69	$4,094.89	$4,653.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $989.10 / $1,298.98 / $2,215.46	Facility		$989.10	$1,298.98	$2,215.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $989.10 / $2,019.71 / $13,250.00	Facility		$989.10	$2,019.71	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,131.90 / $2,081.33 / $7,652.32	Professional		$1,131.90	$2,081.33	$7,652.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $621.76 / $1,988.80	Professional		$66.47	$621.76	$1,988.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $989.10 / $1,202.43 / $2,215.46	Facility		$989.10	$1,202.43	$2,215.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,048.80 / $2,496.38 / $3,726.61	Professional		$2,048.80	$2,496.38	$3,726.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,915.81 / $4,943.70 / $7,652.32	Professional		$1,915.81	$4,943.70	$7,652.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,317.72 / $3,317.72 / $3,317.72	Professional		$3,317.72	$3,317.72	$3,317.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,000.63 / $5,092.60 / $6,516.74	Professional		$3,000.63	$5,092.60	$6,516.74
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 $1,112.33 / $2,017.03 / $4,513.60	Professional		$1,112.33	$2,017.03	$4,513.60