Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,938.27 / $2,938.27 / $5,460.29	Facility		$2,938.27	$2,938.27	$5,460.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,885.39 / $2,326.13 / $2,938.27	Professional		$1,885.39	$2,326.13	$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 / $979.42 / $10,487.69	Professional		$979.42	$979.42	$10,487.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,219.34 / $6,219.34 / $6,219.34	Facility		$6,219.34	$6,219.34	$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 $1,885.39 / $2,938.27 / $8,569.95	Facility		$1,885.39	$2,938.27	$8,569.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,885.39 / $2,938.27 / $8,569.95	Facility		$1,885.39	$2,938.27	$8,569.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,224.28 / $1,469.14 / $7,550.99	Professional		$1,224.28	$1,469.14	$7,550.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $2,448.56	Professional		$50.00	$70.00	$2,448.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,885.39 / $2,938.27 / $8,569.95	Facility		$1,885.39	$2,938.27	$8,569.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,399.68 / $5,838.74 / $8,189.23	Professional		$4,399.68	$5,838.74	$8,189.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,897.12 / $11,630.66 / $11,630.66	Facility		$4,897.12	$11,630.66	$11,630.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,330.86 / $9,794.24 / $12,193.83	Professional		$2,330.86	$9,794.24	$12,193.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $2,448.56 / $5,214.32	Professional		$2,448.56	$2,448.56	$5,214.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $7,702.63 / $13,369.14	Professional		$2,448.56	$7,702.63	$13,369.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.40 / $1,469.14 / $4,557.75	Professional		$1,028.40	$1,469.14	$4,557.75