Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.70 / $758.39 / $3,119.00	Facility		$352.70	$758.39	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.70 / $620.88 / $1,986.47	Professional		$352.70	$620.88	$1,986.47
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 $473.02 / $813.92 / $2,311.03	Professional		$473.02	$813.92	$2,311.03
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 $1,677.89 / $1,960.74 / $3,007.83	Facility		$1,677.89	$1,960.74	$3,007.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $609.20 / $1,448.69 / $2,864.13	Professional		$609.20	$1,448.69	$2,864.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $319.56 / $620.88 / $1,301.29	Facility		$319.56	$620.88	$1,301.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $337.06 / $737.33 / $12,202.00	Facility		$337.06	$737.33	$12,202.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $686.28 / $1,631.66 / $4,610.24	Professional		$686.28	$1,631.66	$4,610.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $362.53 / $1,190.22	Professional		$52.59	$362.53	$1,190.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $319.56 / $620.88 / $1,301.29	Facility		$319.56	$620.88	$1,301.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $838.21 / $1,347.12 / $2,103.38	Professional		$838.21	$1,347.12	$2,103.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,523.90 / $2,523.90 / $5,994.41	Facility		$2,523.90	$2,523.90	$5,994.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $788.94 / $2,653.20 / $4,610.24	Professional		$788.94	$2,653.20	$4,610.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,164.20 / $1,164.20 / $2,080.10	Professional		$1,164.20	$1,164.20	$2,080.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,130.16 / $2,305.52 / $4,011.14	Professional		$1,130.16	$2,305.52	$4,011.14
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $683.54 / $1,322.12 / $2,968.30	Professional		$683.54	$1,322.12	$2,968.30