Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.45 / $865.89 / $14,482.00	Facility		$407.45	$865.89	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.83 / $427.25 / $1,635.57	Professional		$369.83	$427.25	$1,635.57
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 $394.66 / $819.05 / $2,412.12	Professional		$394.66	$819.05	$2,412.12
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 $1,115.58 / $1,303.65 / $1,999.83	Facility		$1,115.58	$1,303.65	$1,999.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $673.06 / $1,703.99 / $1,936.35	Professional		$673.06	$1,703.99	$1,936.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $407.45 / $567.64 / $962.10	Facility		$407.45	$567.64	$962.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.45 / $825.76 / $7,891.00	Facility		$407.45	$825.76	$7,891.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $469.61 / $890.93 / $3,560.42	Professional		$469.61	$890.93	$3,560.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $306.86 / $831.33	Professional		$62.75	$306.86	$831.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $407.45 / $567.64 / $962.10	Facility		$407.45	$567.64	$962.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $838.50 / $1,021.68 / $1,525.17	Professional		$838.50	$1,021.68	$1,525.17
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 $797.22 / $1,979.85 / $3,560.42	Professional		$797.22	$1,979.85	$3,560.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,356.49 / $1,356.49 / $1,356.49	Professional		$1,356.49	$1,356.49	$1,356.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $781.61 / $2,068.92 / $2,711.83	Professional		$781.61	$2,068.92	$2,711.83
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 $441.29 / $807.78 / $1,768.09	Professional		$441.29	$807.78	$1,768.09