Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.91 / $7,292.35 / $11,576.70	Facility		$492.91	$7,292.35	$11,576.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.74 / $1,824.74 / $8,286.45	Professional		$261.74	$1,824.74	$8,286.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $455.20 / $1,870.47 / $9,635.42	Professional		$455.20	$1,870.47	$9,635.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $232.67 / $354.66 / $354.66	Facility		$232.67	$354.66	$354.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,849.37 / $2,515.71 / $3,888.54	Professional		$1,849.37	$2,515.71	$3,888.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,729.32 / $6,695.16 / $10,799.06	Facility		$5,729.32	$6,695.16	$10,799.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.13 / $1,123.71 / $7,498.49	Professional		$438.13	$1,123.71	$7,498.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $261.74 / $1,323.00 / $3,909.86	Facility		$261.74	$1,323.00	$3,909.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $280.41 / $2,586.14 / $11,598.00	Facility		$280.41	$2,586.14	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,818.54 / $5,366.68 / $10,416.56	Professional		$1,818.54	$5,366.68	$10,416.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,929.46 / $5,063.08	Professional		$85.00	$1,929.46	$5,063.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $261.74 / $1,323.00 / $3,909.86	Facility		$261.74	$1,323.00	$3,909.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $561.79 / $1,909.62 / $6,636.15	Professional		$561.79	$1,909.62	$6,636.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,426.25 / $1,426.25 / $1,426.25	Facility		$1,426.25	$1,426.25	$1,426.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $408.22 / $7,773.12 / $15,390.40	Professional		$408.22	$7,773.12	$15,390.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,300.01 / $2,166.39 / $11,484.35	Professional		$1,300.01	$2,166.39	$11,484.35
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 $1,835.13 / $5,244.85 / $8,158.95	Professional		$1,835.13	$5,244.85	$8,158.95