Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.72 / $734.40 / $14,482.00	Facility		$345.72	$734.40	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.08 / $363.01 / $1,500.00	Professional		$329.08	$363.01	$1,500.00
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 $331.81 / $797.82 / $2,111.77	Professional		$331.81	$797.82	$2,111.77
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 $934.46 / $1,091.99 / $1,675.14	Facility		$934.46	$1,091.99	$1,675.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.40 / $1,420.90 / $1,614.66	Professional		$550.40	$1,420.90	$1,614.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $345.72 / $504.00 / $816.00	Facility		$345.72	$504.00	$816.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $345.72 / $687.35 / $8,296.28	Facility		$345.72	$687.35	$8,296.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $378.95 / $719.53 / $2,760.64	Professional		$378.95	$719.53	$2,760.64
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 $345.72 / $504.00 / $816.00	Facility		$345.72	$504.00	$816.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $708.50 / $863.28 / $1,288.71	Professional		$708.50	$863.28	$1,288.71
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 $664.79 / $1,660.05 / $2,760.64	Professional		$664.79	$1,660.05	$2,760.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,136.38 / $1,136.38 / $1,136.38	Professional		$1,136.38	$1,136.38	$1,136.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $781.61 / $1,735.28 / $2,261.32	Professional		$781.61	$1,735.28	$2,261.32
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 $375.35 / $696.28 / $1,510.65	Professional		$375.35	$696.28	$1,510.65