Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,848.24 / $7,522.50 / $18,702.64	Facility		$1,848.24	$7,522.50	$18,702.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $989.35 / $3,983.21 / $10,625.30	Professional		$989.35	$3,983.21	$10,625.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,015.64 / $2,383.98 / $6,353.40	Professional		$1,015.64	$2,383.98	$6,353.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,013.65 / $1,273.79 / $7,560.77	Facility		$1,013.65	$1,273.79	$7,560.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $964.87 / $1,013.11 / $1,381.32	Professional		$964.87	$1,013.11	$1,381.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,743.91 / $3,206.48 / $4,918.82	Facility		$2,743.91	$3,206.48	$4,918.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,620.96 / $4,215.06 / $4,789.84	Professional		$1,620.96	$4,215.06	$4,789.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,033.06 / $1,544.74 / $2,413.65	Facility		$1,033.06	$1,544.74	$2,413.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,056.78 / $2,190.09 / $14,270.00	Facility		$1,056.78	$2,190.09	$14,270.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,210.11 / $2,294.78 / $7,887.28	Professional		$1,210.11	$2,294.78	$7,887.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $641.55 / $2,028.89	Professional		$95.64	$641.55	$2,028.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,033.06 / $1,544.74 / $2,413.65	Facility		$1,033.06	$1,544.74	$2,413.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,110.55 / $2,571.62 / $3,838.93	Professional		$2,110.55	$2,571.62	$3,838.93
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 Facility Modifier AS Low / Median / High Price $1,887.52 / $1,887.52 / $1,887.52	Facility	AS	$1,887.52	$1,887.52	$1,887.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,972.04 / $5,099.50 / $7,887.28	Professional		$1,972.04	$5,099.50	$7,887.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,098.00 / $5,255.67 / $6,708.04	Professional		$3,098.00	$5,255.67	$6,708.04
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 $1,139.92 / $2,138.29 / $4,640.55	Professional		$1,139.92	$2,138.29	$4,640.55