Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,012.25 / $3,765.31 / $5,597.77	Facility		$3,012.25	$3,765.31	$5,597.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,932.86 / $2,384.69 / $4,710.51	Professional		$1,932.86	$2,384.69	$4,710.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,396.95 / $6,526.55 / $6,903.08	Facility		$5,396.95	$6,526.55	$6,903.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,239.60 / $2,510.21 / $10,751.76	Professional		$1,239.60	$2,510.21	$10,751.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,816.35 / $6,816.35 / $7,084.36	Facility		$6,816.35	$6,816.35	$7,084.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,907.99 / $8,072.53 / $12,383.46	Facility		$6,907.99	$8,072.53	$12,383.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.39 / $6,759.49 / $7,681.24	Professional		$2,884.39	$6,759.49	$7,681.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,932.86 / $3,012.25 / $8,785.74	Facility		$1,932.86	$3,012.25	$8,785.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,259.19 / $3,012.25 / $8,785.74	Facility		$2,259.19	$3,012.25	$8,785.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,455.92 / $1,859.41 / $9,036.76	Professional		$1,455.92	$1,859.41	$9,036.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $1,255.10	Professional		$50.00	$70.00	$1,255.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,932.86 / $3,012.25 / $8,785.74	Facility		$1,932.86	$3,012.25	$8,785.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,044.00 / $6,121.09 / $8,536.00	Professional		$5,044.00	$6,121.09	$8,536.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,020.42 / $11,923.50 / $11,923.50	Facility		$5,020.42	$11,923.50	$11,923.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,639.80 / $12,551.05 / $12,551.05	Professional		$3,639.80	$12,551.05	$12,551.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,345.60 / $5,345.60 / $5,345.60	Professional		$5,345.60	$5,345.60	$5,345.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,295.21 / $13,705.75 / $13,705.75	Professional		$7,295.21	$13,705.75	$13,705.75
United Facility/Professional Professional Modifier Low / Median / High Price $1,301.58 / $1,859.41 / $6,507.94	Professional		$1,301.58	$1,859.41	$6,507.94