Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.87 / $715.79 / $9,245.00	Facility		$180.87	$715.79	$9,245.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.87 / $291.23 / $3,236.00	Professional		$180.87	$291.23	$3,236.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,159.00 / $11,302.00 / $14,586.00	Facility		$6,159.00	$11,302.00	$14,586.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.31 / $442.95 / $1,120.58	Professional		$195.31	$442.95	$1,120.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $200.86 / $241.03 / $313.13	Facility		$200.86	$241.03	$313.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $178.50 / $191.09 / $272.52	Professional		$178.50	$191.09	$272.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.02 / $585.48 / $898.15	Facility		$501.02	$585.48	$898.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.61 / $755.71 / $858.76	Professional		$307.61	$755.71	$858.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $180.87 / $271.31 / $723.48	Facility		$180.87	$271.31	$723.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $180.87 / $381.37 / $1,778.00	Facility		$180.87	$381.37	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $232.45 / $398.10 / $3,668.75	Professional		$232.45	$398.10	$3,668.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.15 / $215.84 / $482.46	Professional		$108.15	$215.84	$482.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $180.87 / $271.31 / $723.48	Facility		$180.87	$271.31	$723.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $411.20 / $501.34 / $748.40	Professional		$411.20	$501.34	$748.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,634.70 / $4,634.70 / $4,634.70	Facility		$4,634.70	$4,634.70	$4,634.70
Quartz Facility/Professional Facility Modifier 62 Low / Median / High Price $598.89 / $598.89 / $598.89	Facility	62	$598.89	$598.89	$598.89
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $95.82 / $95.82 / $95.82	Facility	AS	$95.82	$95.82	$95.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $379.66 / $968.55 / $3,668.75	Professional		$379.66	$968.55	$3,668.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $731.21 / $1,131.59 / $1,131.59	Professional		$731.21	$1,131.59	$1,131.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $232.29 / $395.04 / $877.51	Professional		$232.29	$395.04	$877.51