Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.29 / $980.55 / $14,482.00	Facility		$462.29	$980.55	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.94 / $482.40 / $2,138.76	Professional		$440.94	$482.40	$2,138.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.72 / $1,066.83 / $2,703.15	Professional		$447.72	$1,066.83	$2,703.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,198.35 / $2,198.35 / $2,198.35	Facility		$2,198.35	$2,198.35	$2,198.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,245.34 / $1,455.29 / $2,232.44	Facility		$1,245.34	$1,455.29	$2,232.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.65 / $1,898.62 / $2,157.53	Professional		$686.65	$1,898.62	$2,157.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $435.80 / $592.63 / $980.55	Facility		$435.80	$592.63	$980.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $435.80 / $892.42 / $5,261.00	Facility		$435.80	$892.42	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $487.57 / $899.35 / $3,532.00	Professional		$487.57	$899.35	$3,532.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $292.35 / $937.90	Professional		$61.84	$292.35	$937.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $435.80 / $587.58 / $980.55	Facility		$435.80	$587.58	$980.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $947.70 / $1,154.74 / $1,723.79	Professional		$947.70	$1,154.74	$1,723.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,015.89 / $2,015.89 / $5,564.75	Facility		$2,015.89	$2,015.89	$5,564.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $888.28 / $2,237.19 / $3,532.00	Professional		$888.28	$2,237.19	$3,532.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,520.16 / $1,520.16 / $1,520.16	Professional		$1,520.16	$1,520.16	$1,520.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $923.72 / $2,330.21 / $3,021.53	Professional		$923.72	$2,330.21	$3,021.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,523.30 / $6,031.17	Facility		$2,960.00	$4,523.30	$6,031.17
United Facility/Professional Professional Modifier Low / Median / High Price $471.61 / $941.35 / $2,049.28	Professional		$471.61	$941.35	$2,049.28