Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.06 / $714.15 / $14,482.00	Facility		$336.06	$714.15	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.56 / $347.67 / $1,540.79	Professional		$319.56	$347.67	$1,540.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.42 / $672.11 / $2,050.21	Professional		$321.42	$672.11	$2,050.21
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 $909.23 / $1,062.51 / $1,629.91	Facility		$909.23	$1,062.51	$1,629.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.20 / $1,460.30 / $1,731.49	Professional		$505.20	$1,460.30	$1,731.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $336.06 / $476.10 / $714.15	Facility		$336.06	$476.10	$714.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $336.06 / $665.23 / $5,639.00	Facility		$336.06	$665.23	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.65 / $675.15 / $2,911.00	Professional		$350.65	$675.15	$2,911.00
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 $336.06 / $470.48 / $714.15	Facility		$336.06	$470.48	$714.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $689.00 / $839.52 / $1,253.24	Professional		$689.00	$839.52	$1,253.24
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 $646.67 / $1,611.70 / $2,911.00	Professional		$646.67	$1,611.70	$2,911.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,103.28 / $1,103.28 / $1,103.28	Professional		$1,103.28	$1,103.28	$1,103.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $940.09 / $1,702.09 / $2,199.69	Professional		$940.09	$1,702.09	$2,199.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.43 / $625.34 / $1,466.65	Professional		$350.43	$625.34	$1,466.65