Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.16 / $691.83 / $14,482.00	Facility		$330.16	$691.83	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.63 / $375.03 / $1,395.53	Professional		$326.63	$375.03	$1,395.53
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 $332.39 / $727.41 / $2,056.17	Professional		$332.39	$727.41	$2,056.17
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 $865.08 / $1,010.91 / $1,550.76	Facility		$865.08	$1,010.91	$1,550.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $540.02 / $1,336.81 / $1,529.95	Professional		$540.02	$1,336.81	$1,529.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $330.16 / $495.24 / $858.42	Facility		$330.16	$495.24	$858.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $335.33 / $699.94 / $8,384.00	Facility		$335.33	$699.94	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $400.76 / $747.61 / $4,674.28	Professional		$400.76	$747.61	$4,674.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $229.49 / $660.33	Professional		$54.30	$229.49	$660.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $330.16 / $491.97 / $858.42	Facility		$330.16	$491.97	$858.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $693.55 / $845.06 / $1,261.51	Professional		$693.55	$845.06	$1,261.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $629.89 / $1,732.36 / $4,674.28	Professional		$629.89	$1,732.36	$4,674.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,102.90 / $1,102.90 / $1,102.90	Professional		$1,102.90	$1,102.90	$1,102.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.19 / $1,792.17 / $2,142.65	Professional		$1,023.19	$1,792.17	$2,142.65
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 $398.72 / $707.70 / $1,594.33	Professional		$398.72	$707.70	$1,594.33