Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.79 / $5,437.75 / $13,794.60	Facility		$715.79	$5,437.75	$13,794.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.89 / $867.00 / $3,623.40	Professional		$352.89	$867.00	$3,623.40
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 $347.83 / $894.14 / $2,386.10	Professional		$347.83	$894.14	$2,386.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $332.37 / $503.51 / $503.51	Facility		$332.37	$503.51	$503.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $334.82 / $503.51 / $778.27	Professional		$334.82	$503.51	$778.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $894.81 / $1,045.66 / $1,686.61	Facility		$894.81	$1,045.66	$1,686.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.01 / $1,086.08 / $1,433.10	Professional		$474.01	$1,086.08	$1,433.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $352.89 / $486.96 / $2,898.36	Facility		$352.89	$486.96	$2,898.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $352.89 / $2,898.36 / $8,783.00	Facility		$352.89	$2,898.36	$8,783.00
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,506.50 / $2,506.50 / $2,506.50	Facility	50	$2,506.50	$2,506.50	$2,506.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $412.50 / $948.53 / $2,386.00	Professional		$412.50	$948.53	$2,386.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $495.18 / $862.07	Professional		$85.00	$495.18	$862.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $352.89 / $486.96 / $2,898.36	Facility		$352.89	$486.96	$2,898.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $683.15 / $1,054.89 / $1,436.99	Professional		$683.15	$1,054.89	$1,436.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $9,388.90 / $9,388.90	Facility		$9,388.90	$9,388.90	$9,388.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $484.00 / $1,724.60 / $5,068.89	Professional		$484.00	$1,724.60	$5,068.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,631.16 / $2,053.67 / $2,053.67	Professional		$1,631.16	$2,053.67	$2,053.67
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 $410.21 / $1,042.53 / $1,721.32	Professional		$410.21	$1,042.53	$1,721.32