Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.25 / $1,580.58 / $14,482.00	Facility		$420.25	$1,580.58	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.65 / $460.21 / $1,888.00	Professional		$398.65	$460.21	$1,888.00
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 $414.91 / $1,156.39 / $3,066.44	Professional		$414.91	$1,156.39	$3,066.44
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 $1,117.39 / $1,305.76 / $2,106.14	Facility		$1,117.39	$1,305.76	$2,106.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $764.68 / $1,785.78 / $2,029.30	Professional		$764.68	$1,785.78	$2,029.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $420.25 / $504.52 / $847.44	Facility		$420.25	$504.52	$847.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $433.58 / $5,496.00 / $8,783.00	Facility		$433.58	$5,496.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $494.63 / $1,298.00 / $2,377.21	Professional		$494.63	$1,298.00	$2,377.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $322.68 / $938.21	Professional		$63.30	$322.68	$938.21
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $420.25 / $504.52 / $847.44	Facility		$420.25	$504.52	$847.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $874.90 / $1,346.00 / $1,853.28	Professional		$874.90	$1,346.00	$1,853.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,817.20 / $6,817.20 / $6,817.20	Facility		$6,817.20	$6,817.20	$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 $779.72 / $2,070.75 / $3,228.96	Professional		$779.72	$2,070.75	$3,228.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,321.62 / $2,734.31 / $2,734.31	Professional		$1,321.62	$2,734.31	$2,734.31
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 $494.63 / $1,298.00 / $2,032.54	Professional		$494.63	$1,298.00	$2,032.54