Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,938.27 / $3,672.84 / $5,460.29	Facility		$2,938.27	$3,672.84	$5,460.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $2,301.65 / $2,938.27	Professional		$600.00	$2,301.65	$2,938.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,264.40 / $6,366.26 / $6,733.54	Facility		$5,264.40	$6,366.26	$6,733.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $979.42 / $1,493.62 / $9,794.24	Professional		$979.42	$1,493.62	$9,794.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,860.09 / $5,984.05 / $6,219.34	Facility		$1,860.09	$5,984.05	$6,219.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,738.58 / $7,874.56 / $12,079.77	Facility		$6,738.58	$7,874.56	$12,079.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,813.77 / $6,593.48 / $7,492.59	Professional		$2,813.77	$6,593.48	$7,492.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $521.97 / $2,203.69 / $4,813.96	Facility		$521.97	$2,203.69	$4,813.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $521.97 / $2,301.65 / $11,630.66	Facility		$521.97	$2,301.65	$11,630.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $361.26 / $1,469.14 / $6,782.51	Professional		$361.26	$1,469.14	$6,782.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $2,448.56	Professional		$55.00	$85.00	$2,448.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $521.97 / $2,203.69 / $4,813.96	Facility		$521.97	$2,203.69	$4,813.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,148.58 / $5,838.74 / $8,189.23	Professional		$1,148.58	$5,838.74	$8,189.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,897.12 / $4,897.12 / $11,630.66	Facility		$4,897.12	$4,897.12	$11,630.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,191.09 / $12,242.80 / $12,242.80	Professional		$1,191.09	$12,242.80	$12,242.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $451.58 / $451.58 / $5,214.32	Professional		$451.58	$451.58	$5,214.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $451.58 / $1,749.83 / $13,369.14	Professional		$451.58	$1,749.83	$13,369.14
United Facility/Professional Professional Modifier Low / Median / High Price $361.26 / $1,469.14 / $4,557.75	Professional		$361.26	$1,469.14	$4,557.75