Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.15 / $1,128.80 / $5,016.42	Facility		$336.15	$1,128.80	$5,016.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.70 / $473.77 / $1,329.81	Professional		$324.70	$473.77	$1,329.81
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 $425.84 / $775.73 / $2,086.28	Professional		$425.84	$775.73	$2,086.28
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 $1,271.48 / $1,485.83 / $2,279.29	Facility		$1,271.48	$1,485.83	$2,279.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.79 / $1,230.08 / $2,193.51	Professional		$538.79	$1,230.08	$2,193.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $338.87 / $544.73 / $980.40	Facility		$338.87	$544.73	$980.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $343.11 / $690.06 / $7,318.00	Facility		$343.11	$690.06	$7,318.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $553.51 / $1,062.70 / $3,241.07	Professional		$553.51	$1,062.70	$3,241.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $219.68 / $914.37	Professional		$58.42	$219.68	$914.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $338.87 / $519.59 / $980.40	Facility		$338.87	$519.59	$980.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $772.40 / $1,089.84 / $1,588.49	Professional		$772.40	$1,089.84	$1,588.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,601.68 / $1,601.68 / $2,469.60	Facility		$1,601.68	$1,601.68	$2,469.60
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $154.86 / $154.86 / $154.86	Facility	AS	$154.86	$154.86	$154.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $716.29 / $2,031.98 / $3,560.00	Professional		$716.29	$2,031.98	$3,560.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,423.40 / $2,183.38 / $3,071.95	Professional		$1,423.40	$2,183.38	$3,071.95
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 $530.45 / $996.53 / $2,207.89	Professional		$530.45	$996.53	$2,207.89