Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,600.60 / $3,368.43 / $14,482.00	Facility		$1,600.60	$3,368.43	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,532.90 / $1,712.94 / $6,362.59	Professional		$1,532.90	$1,712.94	$6,362.59
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 $1,595.19 / $3,693.69 / $9,424.79	Professional		$1,595.19	$3,693.69	$9,424.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9,672.59 / $9,672.59 / $9,672.59	Facility		$9,672.59	$9,672.59	$9,672.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,241.57 / $4,956.60 / $7,603.57	Facility		$4,241.57	$4,956.60	$7,603.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,461.09 / $6,527.48 / $7,417.59	Professional		$2,461.09	$6,527.48	$7,417.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,600.60 / $2,233.27 / $3,537.33	Facility		$1,600.60	$2,233.27	$3,537.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,600.60 / $3,368.43 / $15,090.00	Facility		$1,600.60	$3,368.43	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,831.80 / $3,206.04 / $12,538.00	Professional		$1,831.80	$3,206.04	$12,538.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.03 / $985.96 / $3,112.97	Professional		$190.03	$985.96	$3,112.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,600.60 / $2,139.64 / $3,537.33	Facility		$1,600.60	$2,139.64	$3,537.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,288.35 / $4,006.73 / $5,981.26	Professional		$3,288.35	$4,006.73	$5,981.26
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 $2,962.30 / $7,945.55 / $12,538.00	Professional		$2,962.30	$7,945.55	$12,538.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,300.15 / $5,300.15 / $5,300.15	Professional		$5,300.15	$5,300.15	$5,300.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,808.55 / $8,161.13 / $10,388.04	Professional		$3,808.55	$8,161.13	$10,388.04
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,313.00	Facility		$8,627.00	$12,373.00	$15,313.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,821.21 / $3,178.22 / $7,230.45	Professional		$1,821.21	$3,178.22	$7,230.45