Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.65 / $648.94 / $9,072.93	Facility		$174.65	$648.94	$9,072.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.65 / $384.07 / $843.81	Professional		$174.65	$384.07	$843.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $13,743.77 / $21,606.00	Facility		$8,139.00	$13,743.77	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.30 / $403.04 / $1,146.94	Professional		$260.30	$403.04	$1,146.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,560.77 / $7,560.77 / $7,560.77	Facility		$7,560.77	$7,560.77	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,028.18 / $1,201.51 / $1,843.14	Facility		$1,028.18	$1,201.51	$1,843.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.73 / $736.63 / $1,759.14	Professional		$325.73	$736.63	$1,759.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $178.35 / $385.98 / $790.80	Facility		$178.35	$385.98	$790.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.20 / $416.33 / $9,837.00	Facility		$194.20	$416.33	$9,837.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $471.17 / $959.78 / $2,984.33	Professional		$471.17	$959.78	$2,984.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $229.27 / $427.71 / $961.29	Professional		$229.27	$427.71	$961.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $178.35 / $385.98 / $790.80	Facility		$178.35	$385.98	$790.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $413.38 / $732.45 / $1,281.58	Professional		$413.38	$732.45	$1,281.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $837.80 / $837.80 / $9,916.36	Facility		$837.80	$837.80	$9,916.36
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $82.05 / $82.05 / $82.05	Facility	AS	$82.05	$82.05	$82.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $417.59 / $1,473.06 / $2,984.33	Professional		$417.59	$1,473.06	$2,984.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $542.62 / $1,126.48 / $2,463.62	Professional		$542.62	$1,126.48	$2,463.62
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,882.00 / $12,631.00	Facility		$6,073.00	$9,882.00	$12,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $450.22 / $853.14 / $1,798.29	Professional		$450.22	$853.14	$1,798.29