Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.84 / $834.19 / $3,119.00	Facility		$357.84	$834.19	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.84 / $552.28 / $1,897.13	Professional		$357.84	$552.28	$1,897.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.32 / $825.78 / $2,184.17	Professional		$453.32	$825.78	$2,184.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,650.85 / $1,929.15 / $2,959.37	Facility		$1,650.85	$1,929.15	$2,959.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $620.64 / $1,506.45 / $2,823.66	Professional		$620.64	$1,506.45	$2,823.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $357.84 / $563.48 / $1,211.07	Facility		$357.84	$563.48	$1,211.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $358.32 / $711.32 / $4,377.80	Facility		$358.32	$711.32	$4,377.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $607.45 / $1,205.99 / $4,568.80	Professional		$607.45	$1,205.99	$4,568.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $374.59 / $1,207.21	Professional		$52.59	$374.59	$1,207.21
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $357.84 / $563.48 / $1,211.07	Facility		$357.84	$563.48	$1,211.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $945.62 / $1,403.77 / $2,093.26	Professional		$945.62	$1,403.77	$2,093.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,907.12 / $1,907.12 / $2,469.60	Facility		$1,907.12	$1,907.12	$2,469.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $841.96 / $2,615.71 / $4,568.80	Professional		$841.96	$2,615.71	$4,568.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,175.34 / $1,175.34 / $1,797.14	Professional		$1,175.34	$1,175.34	$1,797.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,162.55 / $2,567.42 / $3,954.43	Professional		$1,162.55	$2,567.42	$3,954.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $596.83 / $1,071.40 / $2,390.75	Professional		$596.83	$1,071.40	$2,390.75