Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.79 / $920.45 / $14,482.00	Facility		$443.79	$920.45	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.31 / $460.62 / $1,738.63	Professional		$441.31	$460.62	$1,738.63
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 $454.00 / $972.93 / $2,807.21	Professional		$454.00	$972.93	$2,807.21
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 $1,193.98 / $1,395.26 / $2,140.37	Facility		$1,193.98	$1,395.26	$2,140.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.02 / $1,803.76 / $2,049.73	Professional		$698.02	$1,803.76	$2,049.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $413.78 / $567.52 / $980.78	Facility		$413.78	$567.52	$980.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $441.31 / $879.54 / $8,292.34	Facility		$441.31	$879.54	$8,292.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.12 / $922.91 / $3,319.36	Professional		$467.12	$922.91	$3,319.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $259.20 / $847.06	Professional		$50.00	$259.20	$847.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $413.78 / $553.78 / $980.78	Facility		$413.78	$553.78	$980.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $872.30 / $1,062.85 / $1,586.65	Professional		$872.30	$1,062.85	$1,586.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,865.24 / $2,865.24 / $7,909.30	Facility		$2,865.24	$2,865.24	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $843.89 / $2,107.10 / $3,319.36	Professional		$843.89	$2,107.10	$3,319.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,470.14 / $1,470.14 / $1,470.14	Professional		$1,470.14	$1,470.14	$1,470.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $710.55 / $2,358.85 / $2,870.55	Professional		$710.55	$2,358.85	$2,870.55
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 $471.79 / $895.44 / $2,068.21	Professional		$471.79	$895.44	$2,068.21