Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.06 / $1,668.30 / $16,060.91	Facility		$317.06	$1,668.30	$16,060.91
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.96 / $6,461.00 / $16,375.65	Facility	50	$0.96	$6,461.00	$16,375.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.70 / $371.86 / $1,470.50	Professional		$271.70	$371.86	$1,470.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $306.12 / $1,231.96 / $6,920.00	Professional	50	$306.12	$1,231.96	$6,920.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $11,777.00 / $19,639.00	Facility		$5,479.00	$11,777.00	$19,639.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.37 / $742.44 / $1,654.67	Professional		$256.37	$742.44	$1,654.67
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $384.55 / $1,113.66 / $2,482.01	Professional	50	$384.55	$1,113.66	$2,482.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $249.80 / $378.32 / $378.32	Facility		$249.80	$378.32	$378.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $250.78 / $378.32 / $584.76	Professional		$250.78	$378.32	$584.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $675.84 / $789.77 / $1,273.88	Facility		$675.84	$789.77	$1,273.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.77 / $801.44 / $1,081.93	Professional		$390.77	$801.44	$1,081.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $286.10 / $387.93 / $1,769.18	Facility		$286.10	$387.93	$1,769.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $291.45 / $2,248.48 / $8,783.00	Facility		$291.45	$2,248.48	$8,783.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $0.64 / $1,758.96 / $13,358.65	Facility	50	$0.64	$1,758.96	$13,358.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $305.99 / $879.72 / $1,809.51	Professional		$305.99	$879.72	$1,809.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $426.52 / $705.94	Professional		$85.00	$426.52	$705.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $286.10 / $387.93 / $1,769.18	Facility		$286.10	$387.93	$1,769.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $515.45 / $795.93 / $1,035.46	Professional		$515.45	$795.93	$1,035.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,759.35 / $13,759.35 / $13,759.35	Facility		$13,759.35	$13,759.35	$13,759.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $364.49 / $1,360.47 / $5,305.00	Professional		$364.49	$1,360.47	$5,305.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $781.33 / $1,564.10 / $1,564.10	Professional		$781.33	$1,564.10	$1,564.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.60 / $872.07 / $1,139.81	Professional		$304.60	$872.07	$1,139.81