Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.60 / $2,149.17 / $14,482.00	Facility		$1,017.60	$2,149.17	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $976.03 / $1,062.63 / $4,778.57	Professional		$976.03	$1,062.63	$4,778.57
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 $1,002.63 / $2,348.31 / $6,247.57	Professional		$1,002.63	$2,348.31	$6,247.57
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 $2,713.27 / $3,170.67 / $4,863.89	Facility		$2,713.27	$3,170.67	$4,863.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,534.38 / $4,160.77 / $4,728.14	Professional		$1,534.38	$4,160.77	$4,728.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,017.60 / $1,403.68 / $2,248.90	Facility		$1,017.60	$1,403.68	$2,248.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,017.60 / $2,120.78 / $15,090.00	Facility		$1,017.60	$2,120.78	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,142.50 / $2,009.40 / $7,778.24	Professional		$1,142.50	$2,009.40	$7,778.24
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 $1,017.60 / $1,334.45 / $2,248.90	Facility		$1,017.60	$1,334.45	$2,248.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,090.40 / $2,547.07 / $3,802.28	Professional		$2,090.40	$2,547.07	$3,802.28
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 Professional Modifier Low / Median / High Price $1,888.25 / $4,998.50 / $7,778.24	Professional		$1,888.25	$4,998.50	$7,778.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,361.97 / $3,361.97 / $3,361.97	Professional		$3,361.97	$3,361.97	$3,361.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,359.03 / $5,162.68 / $6,621.66	Professional		$2,359.03	$5,162.68	$6,621.66
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 $1,113.92 / $1,999.40 / $4,578.63	Professional		$1,113.92	$1,999.40	$4,578.63