Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.44 / $772.58 / $14,482.00	Facility		$363.44	$772.58	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.05 / $377.53 / $1,607.13	Professional		$346.05	$377.53	$1,607.13
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 $335.01 / $727.56 / $2,124.26	Professional		$335.01	$727.56	$2,124.26
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 $981.32 / $1,146.75 / $1,759.14	Facility		$981.32	$1,146.75	$1,759.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $605.33 / $1,493.33 / $1,696.96	Professional		$605.33	$1,493.33	$1,696.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $363.44 / $444.01 / $786.09	Facility		$363.44	$444.01	$786.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.44 / $690.96 / $7,891.00	Facility		$363.44	$690.96	$7,891.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $397.60 / $756.50 / $3,237.25	Professional		$397.60	$756.50	$3,237.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $214.92 / $696.82	Professional		$38.65	$214.92	$696.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $363.44 / $440.00 / $786.09	Facility		$363.44	$440.00	$786.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $745.55 / $908.42 / $1,356.10	Professional		$745.55	$908.42	$1,356.10
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 $698.65 / $1,681.10 / $3,237.25	Professional		$698.65	$1,681.10	$3,237.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,194.59 / $1,194.59 / $1,194.59	Professional		$1,194.59	$1,194.59	$1,194.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $341.06 / $1,823.90 / $2,376.55	Professional		$341.06	$1,823.90	$2,376.55
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 $391.39 / $736.32 / $1,529.80	Professional		$391.39	$736.32	$1,529.80