Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.63 / $6,020.11 / $10,911.99	Facility		$592.63	$6,020.11	$10,911.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.55 / $769.26 / $3,364.74	Professional		$403.55	$769.26	$3,364.74
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 $517.05 / $941.90 / $2,630.69	Professional		$517.05	$941.90	$2,630.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.41 / $501.29 / $2,971.90	Facility		$398.41	$501.29	$2,971.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $537.90 / $564.79 / $750.54	Professional		$537.90	$564.79	$750.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,590.48 / $1,858.60 / $2,851.14	Facility		$1,590.48	$1,858.60	$2,851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.79 / $1,623.20 / $2,736.66	Professional		$671.79	$1,623.20	$2,736.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $376.80 / $612.24 / $1,226.81	Facility		$376.80	$612.24	$1,226.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $383.67 / $824.89 / $7,318.00	Facility		$383.67	$824.89	$7,318.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $607.28 / $1,348.41 / $4,446.96	Professional		$607.28	$1,348.41	$4,446.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $352.03 / $1,158.75	Professional		$61.84	$352.03	$1,158.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $376.80 / $612.24 / $1,226.81	Facility		$376.80	$612.24	$1,226.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $973.08 / $1,384.70 / $2,025.81	Professional		$973.08	$1,384.70	$2,025.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $2,965.02	Facility		$2,469.60	$2,469.60	$2,965.02
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $193.77 / $193.77 / $193.77	Facility	AS	$193.77	$193.77	$193.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $873.07 / $2,535.12 / $4,446.96	Professional		$873.07	$2,535.12	$4,446.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,286.45 / $2,662.31 / $3,832.57	Professional		$1,286.45	$2,662.31	$3,832.57
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 $607.27 / $1,192.08 / $2,637.95	Professional		$607.27	$1,192.08	$2,637.95