Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.24 / $2,172.23 / $13,255.10	Facility		$428.24	$2,172.23	$13,255.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.62 / $702.38 / $2,316.90	Professional		$412.62	$702.38	$2,316.90
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 $421.93 / $988.25 / $2,745.05	Professional		$421.93	$988.25	$2,745.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,139.02 / $1,331.03 / $2,041.83	Facility		$1,139.02	$1,331.03	$2,041.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $670.29 / $1,751.78 / $1,990.66	Professional		$670.29	$1,751.78	$1,990.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $428.24 / $590.70 / $946.41	Facility		$428.24	$590.70	$946.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $428.24 / $903.40 / $8,103.00	Facility		$428.24	$903.40	$8,103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $494.61 / $850.68 / $3,288.48	Professional		$494.61	$850.68	$3,288.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $312.18 / $898.37	Professional		$62.75	$312.18	$898.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $428.24 / $590.70 / $946.41	Facility		$428.24	$590.70	$946.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $887.90 / $1,081.86 / $1,615.02	Professional		$887.90	$1,081.86	$1,615.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $6,817.20	Facility		$2,469.60	$2,469.60	$6,817.20
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $646.16 / $646.16 / $646.16	Facility	AS	$646.16	$646.16	$646.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $795.00 / $2,105.30 / $3,288.48	Professional		$795.00	$2,105.30	$3,288.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $994.77 / $2,171.77 / $2,787.91	Professional		$994.77	$2,171.77	$2,787.91
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 $472.93 / $853.76 / $1,928.45	Professional		$472.93	$853.76	$1,928.45