Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.66 / $1,612.60 / $4,156.47	Facility		$321.66	$1,612.60	$4,156.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.13 / $836.71 / $2,890.00	Professional		$273.13	$836.71	$2,890.00
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 $480.09 / $1,240.81 / $4,077.11	Professional		$480.09	$1,240.81	$4,077.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $242.01 / $366.35 / $366.35	Facility		$242.01	$366.35	$366.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,031.33 / $1,416.37 / $1,594.14	Professional		$1,031.33	$1,416.37	$1,594.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,192.42 / $2,562.02 / $4,132.45	Facility		$2,192.42	$2,562.02	$4,132.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.06 / $1,045.11 / $2,886.16	Professional		$477.06	$1,045.11	$2,886.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $254.51 / $507.72 / $1,555.65	Facility		$254.51	$507.72	$1,555.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $282.41 / $1,288.91 / $11,598.00	Facility		$282.41	$1,288.91	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $916.06 / $2,585.81 / $4,648.68	Professional		$916.06	$2,585.81	$4,648.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.97 / $666.33 / $1,715.71	Professional		$59.97	$666.33	$1,715.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $254.51 / $507.72 / $1,555.65	Facility		$254.51	$507.72	$1,555.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $591.36 / $1,133.00 / $2,677.74	Professional		$591.36	$1,133.00	$2,677.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,486.75 / $1,486.75 / $1,486.75	Facility		$1,486.75	$1,486.75	$1,486.75
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $116.26 / $116.26 / $116.26	Facility	AS	$116.26	$116.26	$116.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $486.77 / $3,050.66 / $5,987.20	Professional		$486.77	$3,050.66	$5,987.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,317.87 / $1,752.60 / $5,691.27	Professional		$1,317.87	$1,752.60	$5,691.27
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $836.20 / $2,388.91 / $3,508.47	Professional		$836.20	$2,388.91	$3,508.47