Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,501.55 / $3,129.26 / $14,482.00	Facility		$1,501.55	$3,129.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,435.33 / $1,547.27 / $6,918.09	Professional		$1,435.33	$1,547.27	$6,918.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,427.50 / $3,465.11 / $8,879.64	Professional		$1,427.50	$3,465.11	$8,879.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,991.96 / $4,664.92 / $7,156.11	Facility		$3,991.96	$4,664.92	$7,156.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,241.05 / $6,360.91 / $7,643.89	Professional		$2,241.05	$6,360.91	$7,643.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,390.78 / $1,875.09 / $3,318.43	Facility		$1,390.78	$1,875.09	$3,318.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,420.85 / $2,781.00 / $5,801.00	Facility		$1,420.85	$2,781.00	$5,801.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,580.00 / $2,909.07 / $11,374.64	Professional		$1,580.00	$2,909.07	$11,374.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $919.44 / $2,943.64	Professional		$126.60	$919.44	$2,943.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,390.78 / $1,875.09 / $3,318.43	Facility		$1,390.78	$1,875.09	$3,318.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,034.85 / $3,697.85 / $5,520.16	Professional		$3,034.85	$3,697.85	$5,520.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,854.86 / $7,236.50 / $11,374.64	Professional		$2,854.86	$7,236.50	$11,374.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,993.59 / $4,993.59 / $4,993.59	Professional		$4,993.59	$4,993.59	$4,993.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,316.31 / $7,629.09 / $9,710.95	Professional		$4,316.31	$7,629.09	$9,710.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,573.24 / $2,883.28 / $6,585.22	Professional		$1,573.24	$2,883.28	$6,585.22