Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,445.20 / $4,306.50 / $6,402.33	Facility		$3,445.20	$4,306.50	$6,402.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,210.67 / $2,727.45 / $4,306.50	Professional		$2,210.67	$2,727.45	$4,306.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,172.65 / $7,464.60 / $7,895.25	Facility		$6,172.65	$7,464.60	$7,895.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.40 / $2,126.78 / $12,297.10	Professional		$1,148.40	$2,126.78	$12,297.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,016.46 / $7,016.46 / $7,292.34	Facility		$7,016.46	$7,016.46	$7,292.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,901.02 / $9,232.96 / $14,163.61	Facility		$7,901.02	$9,232.96	$14,163.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,299.04 / $7,731.03 / $8,785.26	Professional		$3,299.04	$7,731.03	$8,785.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,210.67 / $3,445.20 / $10,048.50	Facility		$2,210.67	$3,445.20	$10,048.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,583.90 / $3,445.20 / $10,048.50	Facility		$2,583.90	$3,445.20	$10,048.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,205.82 / $1,722.60 / $8,853.73	Professional		$1,205.82	$1,722.60	$8,853.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $1,435.50	Professional		$50.00	$65.00	$1,435.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,210.67 / $3,445.20 / $10,048.50	Facility		$2,210.67	$3,445.20	$10,048.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,056.35 / $6,846.06 / $9,602.06	Professional		$4,056.35	$6,846.06	$9,602.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,742.00 / $13,637.25 / $13,637.25	Facility		$5,742.00	$13,637.25	$13,637.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,162.95 / $14,355.00 / $14,355.00	Professional		$4,162.95	$14,355.00	$14,355.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,595.09 / $1,595.09 / $6,113.92	Professional		$1,595.09	$1,595.09	$6,113.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,595.09 / $1,595.09 / $15,675.66	Professional		$1,595.09	$1,595.09	$15,675.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,205.82 / $1,722.60 / $7,952.67	Professional		$1,205.82	$1,722.60	$7,952.67