Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.52 / $947.00 / $14,482.00	Facility		$444.52	$947.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.26 / $454.61 / $2,023.66	Professional		$407.26	$454.61	$2,023.66
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 $423.89 / $1,025.81 / $2,819.96	Professional		$423.89	$1,025.81	$2,819.96
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 $1,201.19 / $1,403.69 / $2,153.29	Facility		$1,201.19	$1,403.69	$2,153.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $657.69 / $1,934.19 / $2,288.78	Professional		$657.69	$1,934.19	$2,288.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $420.89 / $548.14 / $947.00	Facility		$420.89	$548.14	$947.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $420.89 / $875.34 / $5,639.00	Facility		$420.89	$875.34	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.53 / $850.95 / $3,386.64	Professional		$467.53	$850.95	$3,386.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $273.32 / $879.76	Professional		$61.81	$273.32	$879.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $420.89 / $546.00 / $947.00	Facility		$420.89	$546.00	$947.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $906.10 / $1,104.05 / $1,648.13	Professional		$906.10	$1,104.05	$1,648.13
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 $854.81 / $2,116.80 / $3,386.64	Professional		$854.81	$2,116.80	$3,386.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,455.08 / $1,455.08 / $1,455.08	Professional		$1,455.08	$1,455.08	$1,455.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,273.89 / $2,236.69 / $2,907.69	Professional		$1,273.89	$2,236.69	$2,907.69
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 $458.70 / $863.65 / $1,938.99	Professional		$458.70	$863.65	$1,938.99