Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.77 / $8,423.79 / $11,616.00	Facility		$583.77	$8,423.79	$11,616.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.77 / $964.46 / $3,705.40	Professional		$583.77	$964.46	$3,705.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,975.00 / $13,919.00 / $24,485.00	Facility		$5,975.00	$13,919.00	$24,485.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $739.53 / $1,347.16 / $3,580.46	Professional		$739.53	$1,347.16	$3,580.46
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 $2,713.27 / $3,170.67 / $4,863.89	Facility		$2,713.27	$3,170.67	$4,863.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $985.31 / $2,401.25 / $4,654.99	Professional		$985.31	$2,401.25	$4,654.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $583.77 / $1,108.84 / $2,079.09	Facility		$583.77	$1,108.84	$2,079.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $603.66 / $1,226.11 / $10,223.10	Facility		$603.66	$1,226.11	$10,223.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,031.20 / $2,232.05 / $7,524.00	Professional		$1,031.20	$2,232.05	$7,524.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.42 / $582.92 / $1,928.71	Professional		$95.42	$582.92	$1,928.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $583.77 / $1,108.84 / $2,079.09	Facility		$583.77	$1,108.84	$2,079.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,385.83 / $2,168.64 / $3,386.09	Professional		$1,385.83	$2,168.64	$3,386.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,818.80 / $2,818.80 / $9,198.74	Facility		$2,818.80	$2,818.80	$9,198.74
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $275.06 / $275.06 / $275.06	Facility	AS	$275.06	$275.06	$275.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,259.45 / $4,312.17 / $7,524.00	Professional		$1,259.45	$4,312.17	$7,524.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,914.77 / $3,840.52 / $6,519.16	Professional		$1,914.77	$3,840.52	$6,519.16
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 $1,031.20 / $1,982.62 / $4,375.92	Professional		$1,031.20	$1,982.62	$4,375.92