Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.05 / $5,162.08 / $9,104.14	Facility		$704.05	$5,162.08	$9,104.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $679.69 / $1,132.00 / $3,499.00	Professional		$679.69	$1,132.00	$3,499.00
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 $696.79 / $1,624.73 / $4,364.35	Professional		$696.79	$1,624.73	$4,364.35
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 $1,862.62 / $2,176.61 / $3,338.98	Facility		$1,862.62	$2,176.61	$3,338.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,105.99 / $2,870.15 / $3,261.54	Professional		$1,105.99	$2,870.15	$3,261.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $704.05 / $975.51 / $1,555.95	Facility		$704.05	$975.51	$1,555.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $704.05 / $1,479.78 / $8,103.00	Facility		$704.05	$1,479.78	$8,103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $823.49 / $1,406.16 / $5,399.12	Professional		$823.49	$1,406.16	$5,399.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $449.83 / $1,416.38	Professional		$66.47	$449.83	$1,416.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $704.05 / $975.51 / $1,555.95	Facility		$704.05	$975.51	$1,555.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,458.60 / $1,777.25 / $2,653.08	Professional		$1,458.60	$1,777.25	$2,653.08
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 $1,302.53 / $3,481.95 / $5,399.12	Professional		$1,302.53	$3,481.95	$5,399.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,121.84 / $3,582.50 / $4,567.67	Professional		$2,121.84	$3,582.50	$4,567.67
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 $771.60 / $1,413.30 / $3,168.57	Professional		$771.60	$1,413.30	$3,168.57