Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.26 / $917.10 / $3,119.00	Facility		$424.26	$917.10	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.26 / $596.41 / $2,161.17	Professional		$424.26	$596.41	$2,161.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $559.42 / $979.05 / $2,787.63	Professional		$559.42	$979.05	$2,787.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,995.29 / $5,995.29 / $5,995.29	Facility		$5,995.29	$5,995.29	$5,995.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,438.19 / $1,680.64 / $2,578.14	Facility		$1,438.19	$1,680.64	$2,578.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.17 / $1,617.81 / $2,474.48	Professional		$664.17	$1,617.81	$2,474.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $424.26 / $643.96 / $1,271.28	Facility		$424.26	$643.96	$1,271.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $804.94 / $7,160.00	Facility		$445.00	$804.94	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $603.90 / $1,260.06 / $4,991.29	Professional		$603.90	$1,260.06	$4,991.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $321.46 / $1,071.89	Professional		$61.84	$321.46	$1,071.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $424.26 / $636.39 / $1,271.28	Facility		$424.26	$636.39	$1,271.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $958.32 / $1,312.34 / $1,889.06	Professional		$958.32	$1,312.34	$1,889.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,036.84 / $3,036.84 / $5,994.41	Facility		$3,036.84	$3,036.84	$5,994.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $908.30 / $2,292.26 / $4,991.29	Professional		$908.30	$2,292.26	$4,991.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,547.42 / $2,769.72 / $3,465.40	Professional		$1,547.42	$2,769.72	$3,465.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $582.84 / $1,204.00 / $2,634.27	Professional		$582.84	$1,204.00	$2,634.27