Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.82 / $1,470.03 / $6,461.00	Facility		$389.82	$1,470.03	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.87 / $628.04 / $1,853.00	Professional		$369.87	$628.04	$1,853.00
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 $384.66 / $899.58 / $2,403.80	Professional		$384.66	$899.58	$2,403.80
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 $1,040.79 / $1,216.25 / $1,865.76	Facility		$1,040.79	$1,216.25	$1,865.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $605.77 / $1,597.72 / $1,815.59	Professional		$605.77	$1,597.72	$1,815.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $389.82 / $538.52 / $861.50	Facility		$389.82	$538.52	$861.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.82 / $820.37 / $8,103.00	Facility		$389.82	$820.37	$8,103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $448.80 / $774.34 / $2,993.20	Professional		$448.80	$774.34	$2,993.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $305.62 / $801.35	Professional		$62.75	$305.62	$801.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $389.82 / $538.52 / $861.50	Facility		$389.82	$538.52	$861.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $807.95 / $984.46 / $1,469.60	Professional		$807.95	$984.46	$1,469.60
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 $725.07 / $1,919.75 / $2,993.20	Professional		$725.07	$1,919.75	$2,993.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,168.46 / $1,981.67 / $2,542.67	Professional		$1,168.46	$1,981.67	$2,542.67
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $7,495.00 / $9,134.00	Facility		$4,614.00	$7,495.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $438.81 / $774.95 / $1,746.97	Professional		$438.81	$774.95	$1,746.97