Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,010.94 / $2,133.54 / $14,482.00	Facility		$1,010.94	$2,133.54	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $936.67 / $1,063.29 / $4,735.55	Professional		$936.67	$1,063.29	$4,735.55
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 $991.64 / $2,315.66 / $6,229.01	Professional		$991.64	$2,315.66	$6,229.01
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 $2,694.35 / $3,148.56 / $4,829.97	Facility		$2,694.35	$3,148.56	$4,829.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,237.00 / $3,982.61 / $5,176.09	Professional		$1,237.00	$3,982.61	$5,176.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $948.24 / $1,213.75 / $2,234.17	Facility		$948.24	$1,213.75	$2,234.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $965.57 / $2,097.69 / $5,639.00	Facility		$965.57	$2,097.69	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,078.76 / $1,991.31 / $7,722.88	Professional		$1,078.76	$1,991.31	$7,722.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $621.71 / $1,942.39	Professional		$66.47	$621.71	$1,942.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $948.24 / $1,213.75 / $2,234.17	Facility		$948.24	$1,213.75	$2,234.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,075.44 / $2,528.86 / $3,775.08	Professional		$2,075.44	$2,528.86	$3,775.08
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 $1,933.17 / $4,953.50 / $7,722.88	Professional		$1,933.17	$4,953.50	$7,722.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,341.08 / $3,341.08 / $3,341.08	Professional		$3,341.08	$3,341.08	$3,341.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $923.72 / $5,239.32 / $6,575.80	Professional		$923.72	$5,239.32	$6,575.80
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 $1,078.30 / $1,981.40 / $4,522.55	Professional		$1,078.30	$1,981.40	$4,522.55