Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.67 / $1,355.98 / $8,905.04	Facility		$459.67	$1,355.98	$8,905.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.17 / $639.76 / $1,735.17	Professional		$431.17	$639.76	$1,735.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $582.32 / $1,060.79 / $2,810.61	Professional		$582.32	$1,060.79	$2,810.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,756.28 / $2,052.36 / $3,148.37	Facility		$1,756.28	$2,052.36	$3,148.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.24 / $1,697.45 / $3,021.04	Professional		$757.24	$1,697.45	$3,021.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $459.67 / $692.34 / $1,355.99	Facility		$459.67	$692.34	$1,355.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $466.29 / $832.88 / $8,602.00	Facility		$466.29	$832.88	$8,602.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,448.08 / $4,899.60	Professional		$707.95	$1,448.08	$4,899.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $390.68 / $1,293.27	Professional		$66.47	$390.68	$1,293.27
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $459.67 / $689.51 / $1,355.99	Facility		$459.67	$689.51	$1,355.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,066.50 / $1,523.32 / $2,220.30	Professional		$1,066.50	$1,523.32	$2,220.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,213.08 / $2,213.08 / $3,244.77	Facility		$2,213.08	$2,213.08	$3,244.77
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $215.87 / $215.87 / $215.87	Facility	AS	$215.87	$215.87	$215.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $985.21 / $2,798.55 / $4,899.60	Professional		$985.21	$2,798.55	$4,899.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,450.88 / $3,004.24 / $4,230.85	Professional		$1,450.88	$3,004.24	$4,230.85
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $686.42 / $1,287.18 / $2,928.33	Professional		$686.42	$1,287.18	$2,928.33