Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.09 / $905.42 / $6,461.00	Facility		$239.09	$905.42	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.79 / $460.73 / $1,293.41	Professional		$229.79	$460.73	$1,293.41
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 $388.52 / $886.02 / $2,112.67	Professional		$388.52	$886.02	$2,112.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,237.24 / $1,445.81 / $2,217.91	Facility		$1,237.24	$1,445.81	$2,217.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.03 / $977.39 / $2,116.58	Professional		$438.03	$977.39	$2,116.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $239.09 / $460.73 / $957.61	Facility		$239.09	$460.73	$957.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.09 / $508.03 / $7,160.00	Facility		$239.09	$508.03	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $520.52 / $1,131.83 / $3,421.84	Professional		$520.52	$1,131.83	$3,421.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $391.68 / $1,034.19	Professional		$31.53	$391.68	$1,034.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $239.09 / $460.73 / $957.61	Facility		$239.09	$460.73	$957.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $576.60 / $962.81 / $1,571.63	Professional		$576.60	$962.81	$1,571.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,157.32 / $1,157.32 / $2,469.60	Facility		$1,157.32	$1,157.32	$2,469.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $532.28 / $1,825.92 / $3,421.84	Professional		$532.28	$1,825.92	$3,421.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $757.07 / $1,555.48 / $2,964.20	Professional		$757.07	$1,555.48	$2,964.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,446.00 / $7,085.00 / $9,134.00	Facility		$3,446.00	$7,085.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $490.82 / $923.93 / $2,085.13	Professional		$490.82	$923.93	$2,085.13