Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.67 / $3,228.63 / $7,320.00	Facility		$448.67	$3,228.63	$7,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.70 / $735.49 / $3,214.44	Professional		$432.70	$735.49	$3,214.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $444.04 / $1,035.39 / $2,781.27	Professional		$444.04	$1,035.39	$2,781.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,507.48 / $1,507.48 / $1,507.48	Facility		$1,507.48	$1,507.48	$1,507.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,192.18 / $1,393.16 / $2,137.14	Facility		$1,192.18	$1,393.16	$2,137.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $700.39 / $1,835.19 / $2,085.44	Professional		$700.39	$1,835.19	$2,085.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $448.67 / $621.66 / $991.56	Facility		$448.67	$621.66	$991.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $448.67 / $951.18 / $8,103.00	Facility		$448.67	$951.18	$8,103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $522.54 / $895.28 / $3,448.40	Professional		$522.54	$895.28	$3,448.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $341.57 / $987.53	Professional		$62.75	$341.57	$987.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $448.67 / $621.66 / $991.56	Facility		$448.67	$621.66	$991.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $934.05 / $1,138.09 / $1,698.97	Professional		$934.05	$1,138.09	$1,698.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,455.33 / $1,455.33 / $4,017.35	Facility		$1,455.33	$1,455.33	$4,017.35
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $380.79 / $380.79 / $380.79	Facility	AS	$380.79	$380.79	$380.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $832.85 / $2,218.05 / $3,448.40	Professional		$832.85	$2,218.05	$3,448.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $994.77 / $2,282.48 / $2,920.63	Professional		$994.77	$2,282.48	$2,920.63
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 $524.33 / $897.77 / $2,128.57	Professional		$524.33	$897.77	$2,128.57