Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.36 / $718.70 / $14,482.00	Facility		$338.36	$718.70	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.18 / $350.75 / $1,551.49	Professional		$315.18	$350.75	$1,551.49
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 $323.30 / $780.82 / $2,063.85	Professional		$323.30	$780.82	$2,063.85
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 $914.64 / $1,068.83 / $1,639.61	Facility		$914.64	$1,068.83	$1,639.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.74 / $1,468.89 / $1,742.04	Professional		$508.74	$1,468.89	$1,742.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $338.36 / $452.62 / $798.55	Facility		$338.36	$452.62	$798.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.36 / $682.50 / $5,639.00	Facility		$338.36	$682.50	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $357.01 / $679.64 / $3,711.01	Professional		$357.01	$679.64	$3,711.01
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 $338.36 / $452.62 / $798.55	Facility		$338.36	$452.62	$798.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $693.55 / $845.06 / $1,261.51	Professional		$693.55	$845.06	$1,261.51
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 $650.62 / $1,622.90 / $3,711.01	Professional		$650.62	$1,622.90	$3,711.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,110.61 / $1,110.61 / $1,110.61	Professional		$1,110.61	$1,110.61	$1,110.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $852.66 / $1,714.72 / $2,213.12	Professional		$852.66	$1,714.72	$2,213.12
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 $352.96 / $639.50 / $1,476.84	Professional		$352.96	$639.50	$1,476.84