Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.95 / $877.19 / $14,482.00	Facility		$412.95	$877.19	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.83 / $431.08 / $1,908.08	Professional		$393.83	$431.08	$1,908.08
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 $399.15 / $952.96 / $2,524.81	Professional		$399.15	$952.96	$2,524.81
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 $1,113.78 / $1,301.55 / $1,996.60	Facility		$1,113.78	$1,301.55	$1,996.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.74 / $1,697.40 / $1,928.86	Professional		$623.74	$1,697.40	$1,928.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $412.95 / $584.79 / $912.62	Facility		$412.95	$584.79	$912.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $412.95 / $828.58 / $8,296.28	Facility		$412.95	$828.58	$8,296.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $438.08 / $802.35 / $3,156.64	Professional		$438.08	$802.35	$3,156.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $306.86 / $826.95	Professional		$62.75	$306.86	$826.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $412.95 / $578.13 / $912.62	Facility		$412.95	$578.13	$912.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $847.60 / $1,032.77 / $1,541.72	Professional		$847.60	$1,032.77	$1,541.72
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 $794.14 / $1,995.90 / $3,156.64	Professional		$794.14	$1,995.90	$3,156.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,358.65 / $1,358.65 / $1,358.65	Professional		$1,358.65	$1,358.65	$1,358.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,080.04 / $2,079.84 / $2,701.32	Professional		$1,080.04	$2,079.84	$2,701.32
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 $434.88 / $802.26 / $1,816.27	Professional		$434.88	$802.26	$1,816.27