Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.78 / $984.06 / $14,482.00	Facility		$462.78	$984.06	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.13 / $485.15 / $2,110.69	Professional		$442.13	$485.15	$2,110.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.79 / $925.56 / $2,706.36	Professional		$442.79	$925.56	$2,706.36
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 $1,244.45 / $1,454.23 / $2,230.83	Facility		$1,244.45	$1,454.23	$2,230.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.78 / $1,900.37 / $2,159.51	Professional		$722.78	$1,900.37	$2,159.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $462.78 / $619.91 / $1,022.74	Facility		$462.78	$619.91	$1,022.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $462.78 / $972.77 / $4,195.00	Facility		$462.78	$972.77	$4,195.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $506.65 / $875.85 / $3,539.20	Professional		$506.65	$875.85	$3,539.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.72 / $273.91 / $896.03	Professional		$61.72	$273.91	$896.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $462.78 / $619.91 / $1,022.74	Facility		$462.78	$619.91	$1,022.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $953.55 / $1,161.85 / $1,734.43	Professional		$953.55	$1,161.85	$1,734.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $6,817.20	Facility		$2,469.60	$2,469.60	$6,817.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $862.43 / $2,207.85 / $3,539.20	Professional		$862.43	$2,207.85	$3,539.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,521.94 / $1,521.94 / $1,521.94	Professional		$1,521.94	$1,521.94	$1,521.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,312.20 / $2,339.35 / $3,024.37	Professional		$1,312.20	$2,339.35	$3,024.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $500.83 / $883.14 / $2,009.14	Professional		$500.83	$883.14	$2,009.14