Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,356.50 / $2,809.30 / $14,482.00	Facility		$1,356.50	$2,809.30	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,294.81 / $1,396.43 / $6,269.26	Professional		$1,294.81	$1,396.43	$6,269.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $13,743.77 / $21,606.00	Facility		$5,692.00	$13,743.77	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,293.01 / $3,130.38 / $8,433.96	Professional		$1,293.01	$3,130.38	$8,433.96
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 $3,600.88 / $4,207.91 / $6,455.04	Facility		$3,600.88	$4,207.91	$6,455.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,087.51 / $5,718.09 / $6,884.71	Professional		$2,087.51	$5,718.09	$6,884.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,356.50 / $1,736.92 / $2,922.35	Facility		$1,356.50	$1,736.92	$2,922.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,356.50 / $2,684.45 / $11,598.00	Facility		$1,356.50	$2,684.45	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,500.99 / $2,734.22 / $10,231.60	Professional		$1,500.99	$2,734.22	$10,231.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $801.58 / $2,587.36	Professional		$126.60	$801.58	$2,587.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,356.50 / $1,703.38 / $2,922.35	Facility		$1,356.50	$1,703.38	$2,922.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,720.25 / $3,314.52 / $4,947.93	Professional		$2,720.25	$3,314.52	$4,947.93
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 $2,571.32 / $6,557.80 / $10,231.60	Professional		$2,571.32	$6,557.80	$10,231.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,523.77 / $4,523.77 / $4,523.77	Professional		$4,523.77	$4,523.77	$4,523.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,693.99 / $6,934.73 / $8,746.53	Professional		$3,693.99	$6,934.73	$8,746.53
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,429.51 / $2,612.73 / $5,967.60	Professional		$1,429.51	$2,612.73	$5,967.60