Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.19 / $938.66 / $14,482.00	Facility		$442.19	$938.66	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.64 / $458.02 / $2,054.96	Professional		$421.64	$458.02	$2,054.96
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 $431.01 / $1,020.43 / $2,704.60	Professional		$431.01	$1,020.43	$2,704.60
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 $1,190.38 / $1,391.05 / $2,133.91	Facility		$1,190.38	$1,391.05	$2,133.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $730.06 / $1,815.73 / $2,063.33	Professional		$730.06	$1,815.73	$2,063.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $442.19 / $663.29 / $973.80	Facility		$442.19	$663.29	$973.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $442.19 / $893.44 / $8,296.28	Facility		$442.19	$893.44	$8,296.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $498.10 / $941.50 / $4,139.31	Professional		$498.10	$941.50	$4,139.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $273.93 / $878.83	Professional		$61.81	$273.93	$878.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $442.19 / $638.79 / $973.80	Facility		$442.19	$638.79	$973.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $904.15 / $1,101.67 / $1,644.58	Professional		$904.15	$1,101.67	$1,644.58
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 $849.51 / $2,149.55 / $4,139.31	Professional		$849.51	$2,149.55	$4,139.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,455.42 / $1,455.42 / $1,455.42	Professional		$1,455.42	$1,455.42	$1,455.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $838.45 / $2,233.14 / $2,889.64	Professional		$838.45	$2,233.14	$2,889.64
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 $489.97 / $882.15 / $1,956.09	Professional		$489.97	$882.15	$1,956.09