Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.67 / $945.59 / $14,482.00	Facility		$448.67	$945.59	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.06 / $522.30 / $2,432.92	Professional		$426.06	$522.30	$2,432.92
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 $443.13 / $1,035.39 / $2,673.42	Professional		$443.13	$1,035.39	$2,673.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,191.28 / $1,392.11 / $2,135.53	Facility		$1,191.28	$1,392.11	$2,135.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.20 / $1,832.95 / $2,082.90	Professional		$699.20	$1,832.95	$2,082.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $448.67 / $620.38 / $991.56	Facility		$448.67	$620.38	$991.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $448.67 / $945.59 / $8,103.00	Facility		$448.67	$945.59	$8,103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $521.73 / $895.98 / $3,444.80	Professional		$521.73	$895.98	$3,444.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $341.57 / $987.53	Professional		$62.75	$341.57	$987.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $448.67 / $620.38 / $991.56	Facility		$448.67	$620.38	$991.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $932.10 / $1,135.73 / $1,695.42	Professional		$932.10	$1,135.73	$1,695.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $6,817.20	Facility		$2,469.60	$2,469.60	$6,817.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $831.83 / $2,209.50 / $3,444.80	Professional		$831.83	$2,209.50	$3,444.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,352.00 / $2,280.44 / $2,917.03	Professional		$1,352.00	$2,280.44	$2,917.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,267.94 / $6,477.00 / $8,384.00	Facility		$2,267.94	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $513.67 / $896.80 / $2,120.37	Professional		$513.67	$896.80	$2,120.37