Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.99 / $9,150.95 / $17,823.00	Facility		$453.99	$9,150.95	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.99 / $5,193.50 / $11,116.70	Professional		$453.99	$5,193.50	$11,116.70
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 $614.16 / $1,353.84 / $6,702.74	Professional		$614.16	$1,353.84	$6,702.74
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 $15,360.49 / $17,949.95 / $27,535.68	Facility		$15,360.49	$17,949.95	$27,535.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $804.04 / $2,180.66 / $26,850.54	Professional		$804.04	$2,180.66	$26,850.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $461.46 / $1,815.96 / $12,235.30	Facility		$461.46	$1,815.96	$12,235.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $485.82 / $5,928.89 / $14,270.00	Facility		$485.82	$5,928.89	$14,270.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7,626.80 / $14,431.38 / $45,306.67	Professional		$7,626.80	$14,431.38	$45,306.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $474.36 / $4,155.33 / $11,153.87	Professional		$474.36	$4,155.33	$11,153.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $461.46 / $1,815.96 / $12,235.30	Facility		$461.46	$1,815.96	$12,235.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,086.84 / $5,762.75 / $18,010.81	Professional		$1,086.84	$5,762.75	$18,010.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $9,764.58	Facility		$7,213.88	$7,213.88	$9,764.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,005.46 / $20,733.43 / $52,335.24	Professional		$1,005.46	$20,733.43	$52,335.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,986.29 / $19,762.23 / $36,178.98	Professional		$1,986.29	$19,762.23	$36,178.98
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 $7,136.98 / $14,080.33 / $31,576.17	Professional		$7,136.98	$14,080.33	$31,576.17