Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.45 / $814.28 / $9,450.03	Facility		$381.45	$814.28	$9,450.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.43 / $563.59 / $1,945.40	Professional		$352.43	$563.59	$1,945.40
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 $483.23 / $880.28 / $2,334.17	Professional		$483.23	$880.28	$2,334.17
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 $1,531.90 / $1,790.15 / $2,746.14	Facility		$1,531.90	$1,790.15	$2,746.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.30 / $1,432.00 / $2,630.43	Professional		$624.30	$1,432.00	$2,630.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $381.45 / $584.57 / $1,178.55	Facility		$381.45	$584.57	$1,178.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $391.09 / $754.38 / $7,160.00	Facility		$391.09	$754.38	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $592.95 / $1,277.25 / $4,256.47	Professional		$592.95	$1,277.25	$4,256.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $331.81 / $1,090.02	Professional		$61.84	$331.81	$1,090.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $381.45 / $584.57 / $1,178.55	Facility		$381.45	$584.57	$1,178.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $905.21 / $1,305.24 / $1,922.38	Professional		$905.21	$1,305.24	$1,922.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,843.36 / $1,843.36 / $3,244.77	Facility		$1,843.36	$1,843.36	$3,244.77
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $179.69 / $179.69 / $179.69	Facility	AS	$179.69	$179.69	$179.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $823.57 / $2,436.71 / $4,256.47	Professional		$823.57	$2,436.71	$4,256.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,213.45 / $2,511.34 / $3,683.81	Professional		$1,213.45	$2,511.34	$3,683.81
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $484.67 / $1,144.42 / $2,734.52	Professional		$484.67	$1,144.42	$2,734.52