Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.31 / $6,461.00 / $15,587.64	Facility		$508.31	$6,461.00	$15,587.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.36 / $854.67 / $2,856.42	Professional		$486.36	$854.67	$2,856.42
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 $643.92 / $1,173.01 / $3,121.46	Professional		$643.92	$1,173.01	$3,121.46
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 $2,380.76 / $2,782.11 / $4,267.82	Facility		$2,380.76	$2,782.11	$4,267.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.29 / $2,082.76 / $3,897.01	Professional		$868.29	$2,082.76	$3,897.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $508.31 / $989.33 / $1,822.32	Facility		$508.31	$989.33	$1,822.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $569.54 / $1,095.10 / $9,837.00	Facility		$569.54	$1,095.10	$9,837.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $900.96 / $1,981.78 / $6,593.20	Professional		$900.96	$1,981.78	$6,593.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.42 / $515.43 / $1,671.02	Professional		$95.42	$515.43	$1,671.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $508.31 / $971.90 / $1,822.32	Facility		$508.31	$971.90	$1,822.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,198.20 / $1,894.32 / $2,957.77	Professional		$1,198.20	$1,894.32	$2,957.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,437.23 / $2,437.23 / $3,244.77	Facility		$2,437.23	$2,437.23	$3,244.77
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $237.82 / $237.82 / $237.82	Facility	AS	$237.82	$237.82	$237.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,094.28 / $3,782.66 / $6,593.20	Professional		$1,094.28	$3,782.66	$6,593.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,707.83 / $3,336.83 / $5,718.63	Professional		$1,707.83	$3,336.83	$5,718.63
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 $851.04 / $1,765.56 / $4,070.57	Professional		$851.04	$1,765.56	$4,070.57