Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,620.23 / $2,025.28 / $3,010.92	Facility		$1,620.23	$2,025.28	$3,010.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,080.15 / $1,269.18 / $1,620.23	Professional		$1,080.15	$1,269.18	$1,620.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,902.91 / $3,510.49 / $3,713.02	Facility		$2,902.91	$3,510.49	$3,713.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.08 / $931.63 / $5,783.14	Professional		$540.08	$931.63	$5,783.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,025.69 / $3,299.74 / $3,429.48	Facility		$1,025.69	$3,299.74	$3,429.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.32 / $4,341.64 / $6,660.19	Facility		$3,715.32	$4,341.64	$6,660.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,551.64 / $3,635.80 / $4,131.59	Professional		$1,551.64	$3,635.80	$4,131.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $810.11 / $1,215.17 / $2,654.52	Facility		$810.11	$1,215.17	$2,654.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $810.11 / $1,269.18 / $6,413.40	Facility		$810.11	$1,269.18	$6,413.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $675.10 / $1,080.15 / $3,740.03	Professional		$675.10	$1,080.15	$3,740.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $1,350.19	Professional		$55.00	$85.00	$1,350.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $810.11 / $1,215.17 / $2,654.52	Facility		$810.11	$1,215.17	$2,654.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,253.96 / $3,219.41 / $4,515.43	Professional		$2,253.96	$3,219.41	$4,515.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $715.60 / $2,700.38 / $6,413.40	Facility		$715.60	$2,700.38	$6,413.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $715.60 / $6,750.95 / $6,750.95	Professional		$715.60	$6,750.95	$6,750.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,875.29 / $2,875.29 / $2,875.29	Professional		$2,875.29	$2,875.29	$2,875.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,923.94 / $7,372.04 / $7,372.04	Professional		$3,923.94	$7,372.04	$7,372.04
United Facility/Professional Professional Modifier Low / Median / High Price $675.10 / $867.77 / $3,580.83	Professional		$675.10	$867.77	$3,580.83