Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.81 / $2,529.83 / $24,583.47	Facility		$454.81	$2,529.83	$24,583.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.12 / $682.54 / $2,529.83	Professional		$455.12	$682.54	$2,529.83
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 $576.16 / $1,049.56 / $2,788.27	Professional		$576.16	$1,049.56	$2,788.27
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 $1,841.89 / $2,152.39 / $3,301.83	Facility		$1,841.89	$2,152.39	$3,301.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $774.07 / $1,698.33 / $3,167.20	Professional		$774.07	$1,698.33	$3,167.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $455.12 / $706.31 / $1,426.28	Facility		$455.12	$706.31	$1,426.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $469.62 / $918.09 / $7,160.00	Facility		$469.62	$918.09	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.63 / $1,575.54 / $5,127.76	Professional		$776.63	$1,575.54	$5,127.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $409.12 / $1,325.87	Professional		$66.47	$409.12	$1,325.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $455.12 / $706.31 / $1,426.28	Facility		$455.12	$706.31	$1,426.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,076.79 / $1,571.16 / $2,315.85	Professional		$1,076.79	$1,571.16	$2,315.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,188.56 / $2,188.56 / $3,244.77	Facility		$2,188.56	$2,188.56	$3,244.77
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $213.75 / $213.75 / $213.75	Facility	AS	$213.75	$213.75	$213.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $978.42 / $2,933.96 / $5,127.76	Professional		$978.42	$2,933.96	$5,127.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,442.76 / $2,983.56 / $4,435.58	Professional		$1,442.76	$2,983.56	$4,435.58
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $743.08 / $1,439.28 / $3,186.09	Professional		$743.08	$1,439.28	$3,186.09