Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,021.65 / $2,153.73 / $14,482.00	Facility		$1,021.65	$2,153.73	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $979.66 / $1,063.56 / $4,802.60	Professional		$979.66	$1,063.56	$4,802.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,005.39 / $2,357.65 / $6,301.38	Professional		$1,005.39	$2,357.65	$6,301.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,703.36 / $3,159.09 / $4,846.13	Facility		$2,703.36	$3,159.09	$4,846.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,589.48 / $4,385.27 / $5,193.71	Professional		$1,589.48	$4,385.27	$5,193.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,021.65 / $1,402.00 / $2,257.85	Facility		$1,021.65	$1,402.00	$2,257.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,021.65 / $2,119.92 / $8,103.00	Facility		$1,021.65	$2,119.92	$8,103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,169.77 / $2,027.02 / $7,750.00	Professional		$1,169.77	$2,027.02	$7,750.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $627.36 / $1,996.46	Professional		$66.47	$627.36	$1,996.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,021.65 / $1,402.00 / $2,257.85	Facility		$1,021.65	$1,402.00	$2,257.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,091.69 / $2,548.66 / $3,804.64	Professional		$2,091.69	$2,548.66	$3,804.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $6,817.20	Facility		$2,469.60	$2,469.60	$6,817.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,881.58 / $5,023.64 / $7,750.00	Professional		$1,881.58	$5,023.64	$7,750.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,379.91 / $3,379.91 / $3,379.91	Professional		$3,379.91	$3,379.91	$3,379.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,058.71 / $5,336.57 / $6,598.21	Professional		$3,058.71	$5,336.57	$6,598.21
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,126.46 / $2,066.84 / $4,571.52	Professional		$1,126.46	$2,066.84	$4,571.52