Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,257.05 / $2,637.79 / $14,482.00	Facility		$1,257.05	$2,637.79	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,156.07 / $1,303.99 / $5,853.54	Professional		$1,156.07	$1,303.99	$5,853.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $15,141.00 / $22,609.00	Facility		$9,287.00	$15,141.00	$22,609.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,217.07 / $2,900.88 / $7,741.99	Professional		$1,217.07	$2,900.88	$7,741.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19,898.18 / $19,898.18 / $19,898.18	Facility		$19,898.18	$19,898.18	$19,898.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,344.96 / $3,908.85 / $5,996.27	Facility		$3,344.96	$3,908.85	$5,996.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,885.45 / $5,123.84 / $5,822.55	Professional		$1,885.45	$5,123.84	$5,822.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,172.34 / $1,608.17 / $2,664.95	Facility		$1,172.34	$1,608.17	$2,664.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,196.98 / $2,520.55 / $15,090.00	Facility		$1,196.98	$2,520.55	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,348.03 / $2,461.42 / $9,568.56	Professional		$1,348.03	$2,461.42	$9,568.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $780.59 / $2,484.04	Professional		$126.60	$780.59	$2,484.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,172.34 / $1,500.61 / $2,664.95	Facility		$1,172.34	$1,500.61	$2,664.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,562.30 / $3,122.06 / $4,660.63	Professional		$2,562.30	$3,122.06	$4,660.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,203.68 / $19,203.68 / $53,010.65	Facility		$19,203.68	$19,203.68	$53,010.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,397.23 / $6,122.95 / $9,568.56	Professional		$2,397.23	$6,122.95	$9,568.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,166.13 / $4,166.13 / $4,166.13	Professional		$4,166.13	$4,166.13	$4,166.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,989.54 / $6,383.42 / $8,154.31	Professional		$1,989.54	$6,383.42	$8,154.31
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,347.05 / $2,681.85 / $5,571.88	Professional		$1,347.05	$2,681.85	$5,571.88