Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.72 / $867.49 / $14,482.00	Facility		$409.72	$867.49	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.68 / $442.43 / $1,922.23	Professional		$377.68	$442.43	$1,922.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.48 / $923.00 / $2,412.81	Professional		$403.48	$923.00	$2,412.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,507.48 / $1,507.48 / $1,507.48	Facility		$1,507.48	$1,507.48	$1,507.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,095.76 / $1,280.48 / $1,964.30	Facility		$1,095.76	$1,280.48	$1,964.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.34 / $1,681.12 / $1,910.36	Professional		$635.34	$1,681.12	$1,910.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $409.72 / $564.87 / $905.48	Facility		$409.72	$564.87	$905.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $409.72 / $855.88 / $8,103.00	Facility		$409.72	$855.88	$8,103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.28 / $813.44 / $3,144.72	Professional		$467.28	$813.44	$3,144.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $327.21 / $859.41	Professional		$62.75	$327.21	$859.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $409.72 / $564.87 / $905.48	Facility		$409.72	$564.87	$905.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $846.30 / $1,031.18 / $1,539.35	Professional		$846.30	$1,031.18	$1,539.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,455.33 / $1,455.33 / $4,017.35	Facility		$1,455.33	$1,455.33	$4,017.35
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $380.79 / $380.79 / $380.79	Facility	AS	$380.79	$380.79	$380.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $762.92 / $2,010.70 / $3,144.72	Professional		$762.92	$2,010.70	$3,144.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,227.45 / $2,073.65 / $2,675.39	Professional		$1,227.45	$2,073.65	$2,675.39
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $459.82 / $813.96 / $1,829.74	Professional		$459.82	$813.96	$1,829.74