Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.46 / $853.18 / $14,482.00	Facility		$403.46	$853.18	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.23 / $460.73 / $1,898.28	Professional		$382.23	$460.73	$1,898.28
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 $397.12 / $931.07 / $2,380.65	Professional		$397.12	$931.07	$2,380.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,507.48 / $1,507.48 / $1,507.48	Facility		$1,507.48	$1,507.48	$1,507.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,075.04 / $1,256.26 / $1,927.14	Facility		$1,075.04	$1,256.26	$1,927.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.02 / $1,650.89 / $1,876.01	Professional		$624.02	$1,650.89	$1,876.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $403.46 / $555.97 / $891.65	Facility		$403.46	$555.97	$891.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $403.46 / $848.20 / $8,103.00	Facility		$403.46	$848.20	$8,103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $464.07 / $799.94 / $3,095.12	Professional		$464.07	$799.94	$3,095.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $334.55 / $886.85	Professional		$62.75	$334.55	$886.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $403.46 / $555.97 / $891.65	Facility		$403.46	$555.97	$891.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $837.20 / $1,020.10 / $1,522.80	Professional		$837.20	$1,020.10	$1,522.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,455.33 / $1,455.33 / $4,017.35	Facility		$1,455.33	$1,455.33	$4,017.35
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $380.79 / $380.79 / $380.79	Facility	AS	$380.79	$380.79	$380.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $749.20 / $1,985.65 / $3,095.12	Professional		$749.20	$1,985.65	$3,095.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,207.09 / $2,047.45 / $2,627.25	Professional		$1,207.09	$2,047.45	$2,627.25
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 $460.41 / $810.15 / $1,806.94	Professional		$460.41	$810.15	$1,806.94