Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.49 / $782.51 / $14,482.00	Facility		$369.49	$782.51	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.25 / $405.27 / $1,755.07	Professional		$358.25	$405.27	$1,755.07
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 $371.70 / $852.68 / $2,390.64	Professional		$371.70	$852.68	$2,390.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $985.83 / $1,152.01 / $1,767.22	Facility		$985.83	$1,152.01	$1,767.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.37 / $1,513.16 / $1,719.50	Professional		$558.37	$1,513.16	$1,719.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $369.49 / $539.35 / $869.45	Facility		$369.49	$539.35	$869.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $369.49 / $782.51 / $11,100.00	Facility		$369.49	$782.51	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $411.48 / $804.10 / $4,725.46	Professional		$411.48	$804.10	$4,725.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $263.91 / $768.96	Professional		$56.50	$263.91	$768.96
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $369.49 / $539.35 / $869.45	Facility		$369.49	$539.35	$869.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $776.75 / $946.44 / $1,412.85	Professional		$776.75	$946.44	$1,412.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $2,606.40 / $4,725.46	Professional		$707.95	$2,606.40	$4,725.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,216.48 / $1,216.48 / $1,216.48	Professional		$1,216.48	$1,216.48	$1,216.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,233.16 / $2,408.15 / $2,576.92	Professional		$1,233.16	$2,408.15	$2,576.92
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 $410.70 / $788.24 / $1,720.38	Professional		$410.70	$788.24	$1,720.38