Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,110.32 / $3,008.00 / $14,482.00	Facility		$1,110.32	$3,008.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.82 / $1,110.32 / $1,306.93	Professional		$701.82	$1,110.32	$1,306.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $3,876.00 / $5,962.00	Facility		$2,740.00	$3,876.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.10 / $1,426.56 / $3,543.27	Professional		$711.10	$1,426.56	$3,543.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,084.85 / $3,084.85 / $3,084.85	Facility		$3,084.85	$3,084.85	$3,084.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,874.33 / $2,190.30 / $3,532.88	Facility		$1,874.33	$2,190.30	$3,532.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $844.72 / $1,745.30 / $2,744.49	Professional		$844.72	$1,745.30	$2,744.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $814.95 / $1,053.72 / $1,504.85	Facility		$814.95	$1,053.72	$1,504.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $815.78 / $3,353.00 / $8,783.00	Facility		$815.78	$3,353.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $780.90 / $1,598.41 / $5,602.08	Professional		$780.90	$1,598.41	$5,602.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.69 / $198.76 / $276.06	Professional		$49.69	$198.76	$276.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $763.69 / $1,053.72 / $1,791.30	Facility		$763.69	$1,053.72	$1,791.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,240.92 / $1,820.02 / $2,583.41	Professional		$1,240.92	$1,820.02	$2,583.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,887.55 / $6,887.55 / $6,887.55	Facility		$6,887.55	$6,887.55	$6,887.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,225.25 / $3,801.00 / $5,602.08	Professional		$1,225.25	$3,801.00	$5,602.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,104.91 / $3,625.09 / $3,979.08	Professional		$3,104.91	$3,625.09	$3,979.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,078.00 / $5,918.00 / $7,791.00	Facility		$3,078.00	$5,918.00	$7,791.00
United Facility/Professional Professional Modifier Low / Median / High Price $787.47 / $1,505.58 / $3,422.29	Professional		$787.47	$1,505.58	$3,422.29