Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.57 / $950.60 / $14,482.00	Facility		$448.57	$950.60	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.28 / $469.34 / $2,081.44	Professional		$428.28	$469.34	$2,081.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.33 / $1,035.16 / $2,743.86	Professional		$436.33	$1,035.16	$2,743.86
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 $1,206.59 / $1,410.01 / $2,162.98	Facility		$1,206.59	$1,410.01	$2,162.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $678.52 / $1,841.42 / $2,092.53	Professional		$678.52	$1,841.42	$2,092.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $448.57 / $639.52 / $991.34	Facility		$448.57	$639.52	$991.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $448.57 / $912.40 / $11,100.00	Facility		$448.57	$912.40	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.85 / $943.71 / $3,827.26	Professional		$489.85	$943.71	$3,827.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $273.93 / $896.03	Professional		$61.84	$273.93	$896.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $448.57 / $639.52 / $991.34	Facility		$448.57	$639.52	$991.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $919.75 / $1,120.68 / $1,672.95	Professional		$919.75	$1,120.68	$1,672.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $861.52 / $2,177.25 / $3,827.26	Professional		$861.52	$2,177.25	$3,827.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,476.52 / $1,476.52 / $1,476.52	Professional		$1,476.52	$1,476.52	$1,476.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,434.96 / $2,262.91 / $2,930.52	Professional		$1,434.96	$2,262.91	$2,930.52
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $476.68 / $855.86 / $1,981.30	Professional		$476.68	$855.86	$1,981.30