Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.01 / $4,876.58 / $6,461.00	Facility		$344.01	$4,876.58	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.52 / $461.20 / $1,801.96	Professional		$299.52	$461.20	$1,801.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.54 / $793.87 / $2,001.76	Professional		$325.54	$793.87	$2,001.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,942.50 / $1,942.50 / $1,942.50	Facility		$1,942.50	$1,942.50	$1,942.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.56 / $1,090.94 / $1,673.53	Facility		$933.56	$1,090.94	$1,673.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.87 / $1,415.57 / $1,608.60	Professional		$553.87	$1,415.57	$1,608.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $344.01 / $493.17 / $813.95	Facility		$344.01	$493.17	$813.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $344.01 / $700.00 / $7,891.00	Facility		$344.01	$700.00	$7,891.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $383.71 / $713.63 / $2,616.88	Professional		$383.71	$713.63	$2,616.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $205.27 / $713.56	Professional		$38.65	$205.27	$713.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $344.01 / $493.17 / $813.95	Facility		$344.01	$493.17	$813.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $701.35 / $854.57 / $1,275.70	Professional		$701.35	$854.57	$1,275.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $4,754.80	Facility		$1,722.47	$1,722.47	$4,754.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $662.27 / $1,629.30 / $2,616.88	Professional		$662.27	$1,629.30	$2,616.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $767.39 / $1,715.23 / $2,252.75	Professional		$767.39	$1,715.23	$2,252.75
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.77 / $1,078.56 / $2,012.16	Professional		$298.77	$1,078.56	$2,012.16