Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.76 / $1,449.20 / $16,566.80	Facility		$478.76	$1,449.20	$16,566.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.76 / $689.68 / $2,574.26	Professional		$478.76	$689.68	$2,574.26
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 $606.50 / $1,104.82 / $2,937.23	Professional		$606.50	$1,104.82	$2,937.23
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 $1,876.13 / $2,192.41 / $3,363.21	Facility		$1,876.13	$2,192.41	$3,363.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $790.53 / $1,798.67 / $3,229.68	Professional		$790.53	$1,798.67	$3,229.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $478.76 / $792.47 / $1,449.20	Facility		$478.76	$792.47	$1,449.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $498.78 / $932.53 / $8,602.00	Facility		$498.78	$932.53	$8,602.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $791.61 / $1,603.94 / $5,229.43	Professional		$791.61	$1,603.94	$5,229.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $418.22 / $1,359.05	Professional		$66.47	$418.22	$1,359.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $478.76 / $792.47 / $1,449.20	Facility		$478.76	$792.47	$1,449.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,131.30 / $1,607.55 / $2,355.19	Professional		$1,131.30	$1,607.55	$2,355.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,308.64 / $2,308.64 / $3,244.77	Facility		$2,308.64	$2,308.64	$3,244.77
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $224.95 / $224.95 / $224.95	Facility	AS	$224.95	$224.95	$224.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,035.52 / $2,991.83 / $5,229.43	Professional		$1,035.52	$2,991.83	$5,229.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,527.53 / $3,157.71 / $4,522.99	Professional		$1,527.53	$3,157.71	$4,522.99
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $757.70 / $1,479.94 / $3,243.51	Professional		$757.70	$1,479.94	$3,243.51