Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.39 / $706.88 / $14,482.00	Facility		$333.39	$706.88	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.18 / $333.39 / $1,532.28	Professional		$302.18	$333.39	$1,532.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.55 / $763.15 / $2,046.32	Professional		$320.55	$763.15	$2,046.32
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 $879.49 / $1,027.76 / $1,576.61	Facility		$879.49	$1,027.76	$1,576.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.75 / $1,356.65 / $1,541.65	Professional		$472.75	$1,356.65	$1,541.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $325.45 / $417.67 / $736.79	Facility		$325.45	$417.67	$736.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $325.45 / $691.96 / $8,296.28	Facility		$325.45	$691.96	$8,296.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $351.20 / $641.12 / $3,033.32	Professional		$351.20	$641.12	$3,033.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $195.04 / $334.98 / $777.93	Professional		$195.04	$334.98	$777.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $325.45 / $417.67 / $736.79	Facility		$325.45	$417.67	$736.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $663.00 / $807.84 / $1,205.95	Professional		$663.00	$807.84	$1,205.95
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 $615.66 / $1,602.80 / $3,033.32	Professional		$615.66	$1,602.80	$3,033.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,097.58 / $1,097.58 / $1,097.58	Professional		$1,097.58	$1,097.58	$1,097.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $963.54 / $1,666.82 / $2,159.04	Professional		$963.54	$1,666.82	$2,159.04
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $351.26 / $653.94 / $1,458.55	Professional		$351.26	$653.94	$1,458.55