Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.79 / $5,597.78 / $15,246.39	Facility		$652.79	$5,597.78	$15,246.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.37 / $784.10 / $3,714.73	Professional		$557.37	$784.10	$3,714.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $719.10 / $1,309.96 / $3,495.24	Professional		$719.10	$1,309.96	$3,495.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10,726.14 / $10,726.14 / $10,726.14	Facility		$10,726.14	$10,726.14	$10,726.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,069.87 / $2,418.81 / $3,710.52	Facility		$2,069.87	$2,418.81	$3,710.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $928.87 / $2,094.73 / $3,569.48	Professional		$928.87	$2,094.73	$3,569.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $567.65 / $851.48 / $1,600.27	Facility		$567.65	$851.48	$1,600.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.25 / $1,066.84 / $13,721.00	Facility		$575.25	$1,066.84	$13,721.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $902.10 / $1,783.69 / $5,798.24	Professional		$902.10	$1,783.69	$5,798.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $468.23 / $1,530.39	Professional		$66.47	$468.23	$1,530.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $567.65 / $851.48 / $1,600.27	Facility		$567.65	$851.48	$1,600.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,289.84 / $1,812.45 / $2,622.76	Professional		$1,289.84	$1,812.45	$2,622.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,722.60 / $2,722.60 / $10,177.79	Facility		$2,722.60	$2,722.60	$10,177.79
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $264.92 / $264.92 / $264.92	Facility	AS	$264.92	$264.92	$264.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,212.21 / $3,306.60 / $5,798.24	Professional		$1,212.21	$3,306.60	$5,798.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,779.64 / $3,696.46 / $4,998.95	Professional		$1,779.64	$3,696.46	$4,998.95
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $703.53 / $2,255.73 / $3,839.59	Professional		$703.53	$2,255.73	$3,839.59