Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.63 / $535.86 / $14,482.00	Facility		$254.63	$535.86	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.06 / $257.98 / $1,188.93	Professional		$246.06	$257.98	$1,188.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.02 / $587.60 / $1,656.83	Professional		$248.02	$587.60	$1,656.83
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 $688.46 / $804.51 / $1,234.15	Facility		$688.46	$804.51	$1,234.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.65 / $1,095.23 / $1,310.15	Professional		$380.65	$1,095.23	$1,310.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $249.27 / $327.61 / $546.71	Facility		$249.27	$327.61	$546.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $254.63 / $505.57 / $5,261.00	Facility		$254.63	$505.57	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $280.79 / $528.48 / $2,332.01	Professional		$280.79	$528.48	$2,332.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $184.59 / $518.41	Professional		$62.75	$184.59	$518.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $249.27 / $315.29 / $546.71	Facility		$249.27	$315.29	$546.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $512.85 / $624.89 / $932.83	Professional		$512.85	$624.89	$932.83
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 $489.32 / $1,243.65 / $2,332.01	Professional		$489.32	$1,243.65	$2,332.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $843.72 / $843.72 / $843.72	Professional		$843.72	$843.72	$843.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $757.76 / $1,353.32 / $1,664.47	Professional		$757.76	$1,353.32	$1,664.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $273.60 / $503.85 / $1,131.72	Professional		$273.60	$503.85	$1,131.72