Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.87 / $849.17 / $14,482.00	Facility		$398.87	$849.17	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.98 / $415.03 / $1,836.86	Professional		$379.98	$415.03	$1,836.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.41 / $797.74 / $2,332.63	Professional		$385.41	$797.74	$2,332.63
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 $1,077.74 / $1,259.42 / $1,931.99	Facility		$1,077.74	$1,259.42	$1,931.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $603.03 / $1,641.23 / $1,865.04	Professional		$603.03	$1,641.23	$1,865.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $398.87 / $545.24 / $849.17	Facility		$398.87	$545.24	$849.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $398.87 / $775.06 / $7,891.00	Facility		$398.87	$775.06	$7,891.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $404.53 / $807.00 / $3,048.64	Professional		$404.53	$807.00	$3,048.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $250.96 / $804.12	Professional		$38.65	$250.96	$804.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $398.87 / $539.57 / $849.17	Facility		$398.87	$539.57	$849.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $820.30 / $999.50 / $1,492.06	Professional		$820.30	$999.50	$1,492.06
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 $767.86 / $1,921.40 / $3,048.64	Professional		$767.86	$1,921.40	$3,048.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,311.79 / $1,311.79 / $1,311.79	Professional		$1,311.79	$1,311.79	$1,311.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,120.68 / $2,005.24 / $2,611.90	Professional		$1,120.68	$2,005.24	$2,611.90
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $417.92 / $771.88 / $1,843.89	Professional		$417.92	$771.88	$1,843.89