Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.84 / $2,109.62 / $14,482.00	Facility		$1,000.84	$2,109.62	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.76 / $1,042.95 / $4,705.91	Professional		$960.76	$1,042.95	$4,705.91
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 $986.62 / $2,309.62 / $6,148.46	Professional		$986.62	$2,309.62	$6,148.46
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 $2,663.71 / $3,112.76 / $4,775.05	Facility		$2,663.71	$3,112.76	$4,775.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,505.13 / $4,088.01 / $4,645.46	Professional		$1,505.13	$4,088.01	$4,645.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,000.84 / $1,327.12 / $2,211.86	Facility		$1,000.84	$1,327.12	$2,211.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.84 / $2,015.86 / $11,598.00	Facility		$1,000.84	$2,015.86	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,111.54 / $1,997.81 / $7,648.00	Professional		$1,111.54	$1,997.81	$7,648.00
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 $1,000.84 / $1,327.12 / $2,211.86	Facility		$1,000.84	$1,327.12	$2,211.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,053.35 / $2,501.92 / $3,734.89	Professional		$2,053.35	$2,501.92	$3,734.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,243.12 / $10,243.12 / $28,275.55	Facility		$10,243.12	$10,243.12	$28,275.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,912.60 / $4,922.50 / $7,648.00	Professional		$1,912.60	$4,922.50	$7,648.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,308.62 / $3,308.62 / $3,308.62	Professional		$3,308.62	$3,308.62	$3,308.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,967.66 / $5,082.68 / $6,505.81	Professional		$2,967.66	$5,082.68	$6,505.81
United Facility/Professional Facility Modifier Low / Median / High Price $5,660.81 / $9,158.00 / $12,062.00	Facility		$5,660.81	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,092.91 / $1,990.22 / $4,479.47	Professional		$1,092.91	$1,990.22	$4,479.47