Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.70 / $1,709.86 / $9,265.12	Facility		$497.70	$1,709.86	$9,265.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.17 / $805.36 / $2,323.84	Professional		$493.17	$805.36	$2,323.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $13,743.77 / $21,606.00	Facility		$8,139.00	$13,743.77	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.50 / $1,148.54 / $3,042.50	Professional		$630.50	$1,148.54	$3,042.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,560.77 / $7,560.77 / $7,560.77	Facility		$7,560.77	$7,560.77	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,237.48 / $2,614.67 / $4,010.98	Facility		$2,237.48	$2,614.67	$4,010.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $823.93 / $2,026.20 / $3,839.86	Professional		$823.93	$2,026.20	$3,839.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $499.31 / $832.10 / $1,709.87	Facility		$499.31	$832.10	$1,709.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $513.46 / $993.95 / $9,837.00	Facility		$513.46	$993.95	$9,837.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $837.61 / $1,862.15 / $6,209.44	Professional		$837.61	$1,862.15	$6,209.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.42 / $486.28 / $1,606.01	Professional		$95.42	$486.28	$1,606.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $499.31 / $832.10 / $1,709.87	Facility		$499.31	$832.10	$1,709.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,178.36 / $1,826.65 / $2,786.89	Professional		$1,178.36	$1,826.65	$2,786.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,406.00 / $2,406.00 / $9,107.25	Facility		$2,406.00	$2,406.00	$9,107.25
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $233.88 / $233.88 / $233.88	Facility	AS	$233.88	$233.88	$233.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,074.11 / $3,557.07 / $6,209.44	Professional		$1,074.11	$3,557.07	$6,209.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,578.66 / $3,275.35 / $5,377.60	Professional		$1,578.66	$3,275.35	$5,377.60
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $847.29 / $1,669.70 / $3,765.67	Professional		$847.29	$1,669.70	$3,765.67