Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.61 / $5,797.96 / $17,823.00	Facility		$486.61	$5,797.96	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.61 / $5,367.56 / $11,166.00	Professional		$486.61	$5,367.56	$11,166.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $17,048.00 / $23,460.00	Facility		$11,499.00	$17,048.00	$23,460.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $658.26 / $1,427.19 / $6,722.86	Professional		$658.26	$1,427.19	$6,722.86
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 $15,419.06 / $18,018.40 / $27,640.68	Facility		$15,419.06	$18,018.40	$27,640.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $862.47 / $2,337.44 / $26,685.34	Professional		$862.47	$2,337.44	$26,685.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $494.40 / $1,946.44 / $12,291.68	Facility		$494.40	$1,946.44	$12,291.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $521.20 / $5,955.18 / $14,270.00	Facility		$521.20	$5,955.18	$14,270.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7,669.72 / $14,510.52 / $45,511.48	Professional		$7,669.72	$14,510.52	$45,511.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $474.36 / $4,146.91 / $11,142.93	Professional		$474.36	$4,146.91	$11,142.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $494.40 / $1,946.44 / $12,291.68	Facility		$494.40	$1,946.44	$12,291.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,163.11 / $5,789.73 / $18,095.12	Professional		$1,163.11	$5,789.73	$18,095.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $9,013.67	Facility		$7,213.88	$7,213.88	$9,013.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,077.74 / $20,838.52 / $52,591.26	Professional		$1,077.74	$20,838.52	$52,591.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,132.92 / $19,873.45 / $36,327.33	Professional		$2,132.92	$19,873.45	$36,327.33
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $7,114.91 / $13,944.94 / $29,395.91	Professional		$7,114.91	$13,944.94	$29,395.91