Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.47 / $998.03 / $14,482.00	Facility		$469.47	$998.03	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.64 / $489.67 / $2,155.30	Professional		$447.64	$489.67	$2,155.30
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 $450.29 / $1,056.26 / $2,743.17	Professional		$450.29	$1,056.26	$2,743.17
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 $1,266.97 / $1,480.56 / $2,271.21	Facility		$1,266.97	$1,480.56	$2,271.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $708.88 / $1,931.40 / $2,194.78	Professional		$708.88	$1,931.40	$2,194.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $443.57 / $567.77 / $998.03	Facility		$443.57	$567.77	$998.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $443.57 / $939.41 / $11,100.00	Facility		$443.57	$939.41	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $491.18 / $906.31 / $3,591.28	Professional		$491.18	$906.31	$3,591.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $289.92 / $937.90	Professional		$61.84	$289.92	$937.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $443.57 / $553.73 / $998.03	Facility		$443.57	$553.73	$998.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $963.95 / $1,174.54 / $1,753.35	Professional		$963.95	$1,174.54	$1,753.35
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 $903.63 / $2,254.50 / $3,591.28	Professional		$903.63	$2,254.50	$3,591.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,542.66 / $1,542.66 / $1,542.66	Professional		$1,542.66	$1,542.66	$1,542.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $881.08 / $2,354.57 / $3,073.75	Professional		$881.08	$2,354.57	$3,073.75
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 $491.15 / $874.75 / $2,051.60	Professional		$491.15	$874.75	$2,051.60