Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,158.32 / $8,243.00 / $13,629.00	Facility		$1,158.32	$8,243.00	$13,629.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.35 / $888.24 / $3,896.54	Professional		$548.35	$888.24	$3,896.54
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 $537.58 / $1,265.43 / $3,371.45	Professional		$537.58	$1,265.43	$3,371.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $535.69 / $676.28 / $3,462.54	Facility		$535.69	$676.28	$3,462.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $512.62 / $538.25 / $729.04	Professional		$512.62	$538.25	$729.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,467.92 / $1,715.39 / $2,631.45	Facility		$1,467.92	$1,715.39	$2,631.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.03 / $2,244.75 / $2,550.85	Professional		$868.03	$2,244.75	$2,550.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $548.35 / $822.53 / $1,712.87	Facility		$548.35	$822.53	$1,712.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $563.24 / $1,211.84 / $10,843.00	Facility		$563.24	$1,211.84	$10,843.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $643.15 / $1,205.91 / $6,386.47	Professional		$643.15	$1,205.91	$6,386.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $326.70 / $1,039.79	Professional		$66.47	$326.70	$1,039.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $548.35 / $822.53 / $1,712.87	Facility		$548.35	$822.53	$1,712.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,121.90 / $1,366.99 / $2,040.65	Professional		$1,121.90	$1,366.99	$2,040.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $849.00 / $849.00 / $849.00	Facility	AS	$849.00	$849.00	$849.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,050.23 / $2,773.90 / $6,386.47	Professional		$1,050.23	$2,773.90	$6,386.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,813.00 / $3,079.37 / $3,572.39	Professional		$1,813.00	$3,079.37	$3,572.39
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 $636.00 / $1,139.76 / $2,571.69	Professional		$636.00	$1,139.76	$2,571.69