Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.79 / $1,115.91 / $9,914.35	Facility		$374.79	$1,115.91	$9,914.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.67 / $515.97 / $1,922.88	Professional		$336.67	$515.97	$1,922.88
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 $474.80 / $864.91 / $2,293.26	Professional		$474.80	$864.91	$2,293.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,942.50 / $1,942.50 / $1,942.50	Facility		$1,942.50	$1,942.50	$1,942.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,437.29 / $1,679.58 / $2,576.52	Facility		$1,437.29	$1,679.58	$2,576.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.55 / $1,402.17 / $2,464.34	Professional		$579.55	$1,402.17	$2,464.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $374.79 / $562.19 / $1,116.07	Facility		$374.79	$562.19	$1,116.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $376.16 / $678.19 / $6,669.00	Facility		$376.16	$678.19	$6,669.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.54 / $1,164.96 / $3,979.84	Professional		$537.54	$1,164.96	$3,979.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $303.53 / $1,056.96	Professional		$52.59	$303.53	$1,056.96
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $374.79 / $562.19 / $1,116.07	Facility		$374.79	$562.19	$1,116.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $872.10 / $1,245.65 / $1,815.58	Professional		$872.10	$1,245.65	$1,815.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $1,801.84	Facility		$1,722.47	$1,722.47	$1,801.84
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $177.12 / $177.12 / $177.12	Facility	AS	$177.12	$177.12	$177.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $808.42 / $2,282.85 / $3,979.84	Professional		$808.42	$2,282.85	$3,979.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,201.08 / $2,465.14 / $3,451.22	Professional		$1,201.08	$2,465.14	$3,451.22
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 $529.89 / $997.03 / $2,324.94	Professional		$529.89	$997.03	$2,324.94