Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,311.05 / $5,212.18 / $16,451.96	Facility		$1,311.05	$5,212.18	$16,451.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $534.72 / $837.32 / $3,188.00	Professional		$534.72	$837.32	$3,188.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.63 / $1,578.26 / $2,929.41	Professional		$613.63	$1,578.26	$2,929.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $628.72 / $962.09 / $962.09	Facility		$628.72	$962.09	$962.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $616.19 / $962.09 / $1,487.09	Professional		$616.19	$962.09	$1,487.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,650.85 / $1,929.15 / $3,111.65	Facility		$1,650.85	$1,929.15	$3,111.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,165.36 / $1,631.80 / $2,638.57	Professional		$1,165.36	$1,631.80	$2,638.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $534.72 / $837.46 / $1,437.77	Facility		$534.72	$837.46	$1,437.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $640.96 / $4,685.18 / $8,783.00	Facility		$640.96	$4,685.18	$8,783.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $9,681.12 / $9,681.12 / $9,681.12	Facility	50	$9,681.12	$9,681.12	$9,681.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $634.23 / $1,422.04 / $2,702.56	Professional		$634.23	$1,422.04	$2,702.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $396.03 / $1,259.86	Professional		$62.69	$396.03	$1,259.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $534.72 / $837.46 / $1,437.77	Facility		$534.72	$837.46	$1,437.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,300.65 / $1,749.55 / $2,365.78	Professional		$1,300.65	$1,749.55	$2,365.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,723.79 / $8,723.79 / $8,723.79	Facility		$8,723.79	$8,723.79	$8,723.79
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $826.90 / $826.90 / $826.90	Facility	AS	$826.90	$826.90	$826.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,227.85 / $3,083.35 / $4,805.92	Professional		$1,227.85	$3,083.35	$4,805.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,021.30 / $2,713.49 / $2,713.49	Professional		$1,021.30	$2,713.49	$2,713.49
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $647.25 / $1,863.53 / $2,702.56	Professional		$647.25	$1,863.53	$2,702.56