Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,784.84 / $2,231.05 / $3,316.84	Facility		$1,784.84	$2,231.05	$3,316.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,219.64 / $1,398.13 / $1,784.84	Professional		$1,219.64	$1,398.13	$1,784.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,197.85 / $3,867.16 / $4,090.27	Facility		$3,197.85	$3,867.16	$4,090.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $594.95 / $594.95 / $6,067.35	Professional		$594.95	$594.95	$6,067.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,487.37 / $3,635.00 / $3,777.92	Facility		$1,487.37	$3,635.00	$3,777.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,092.89 / $4,782.85 / $7,337.03	Facility		$4,092.89	$4,782.85	$7,337.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,708.99 / $4,005.19 / $4,551.35	Professional		$1,708.99	$4,005.19	$4,551.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $743.69 / $743.69 / $1,784.84	Facility		$743.69	$743.69	$1,784.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $743.69 / $1,219.64 / $7,065.01	Facility		$743.69	$1,219.64	$7,065.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $862.67 / $1,487.37 / $3,123.48	Professional		$862.67	$1,487.37	$3,123.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $2,231.06	Professional		$55.00	$85.00	$2,231.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $743.69 / $743.69 / $1,784.84	Facility		$743.69	$743.69	$1,784.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,747.24 / $3,546.44 / $4,974.12	Professional		$1,747.24	$3,546.44	$4,974.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,974.74 / $2,974.74 / $7,065.01	Facility		$2,974.74	$2,974.74	$7,065.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $788.31 / $788.31 / $788.31	Professional		$788.31	$788.31	$788.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,167.42 / $3,167.42 / $3,167.42	Professional		$3,167.42	$3,167.42	$3,167.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,322.62 / $8,121.04 / $8,121.04	Professional		$4,322.62	$8,121.04	$8,121.04
United Facility/Professional Professional Modifier Low / Median / High Price $803.18 / $892.42 / $3,123.48	Professional		$803.18	$892.42	$3,123.48