Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.27 / $762.91 / $3,119.00	Facility		$361.27	$762.91	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.27 / $464.72 / $1,818.79	Professional		$361.27	$464.72	$1,818.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.43 / $833.70 / $2,386.62	Professional		$463.43	$833.70	$2,386.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,669.32 / $2,669.32 / $2,669.32	Facility		$2,669.32	$2,669.32	$2,669.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,241.74 / $1,451.08 / $2,225.98	Facility		$1,241.74	$1,451.08	$2,225.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.27 / $1,367.87 / $2,138.09	Professional		$547.27	$1,367.87	$2,138.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $361.27 / $541.91 / $969.08	Facility		$361.27	$541.91	$969.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $384.34 / $642.38 / $7,160.00	Facility		$384.34	$642.38	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $511.75 / $1,089.63 / $3,461.44	Professional		$511.75	$1,089.63	$3,461.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $279.47 / $925.14	Professional		$52.59	$279.47	$925.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $361.27 / $541.91 / $969.08	Facility		$361.27	$541.91	$969.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $810.87 / $1,106.00 / $1,604.33	Professional		$810.87	$1,106.00	$1,604.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,560.73 / $2,560.73 / $2,865.24	Facility		$2,560.73	$2,560.73	$2,865.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $770.25 / $1,980.63 / $3,461.44	Professional		$770.25	$1,980.63	$3,461.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,237.94 / $2,337.67 / $2,994.35	Professional		$1,237.94	$2,337.67	$2,994.35
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $7,495.00 / $9,134.00	Facility		$4,614.00	$7,495.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $511.75 / $1,019.70 / $2,203.46	Professional		$511.75	$1,019.70	$2,203.46