Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.64 / $968.29 / $14,482.00	Facility		$456.64	$968.29	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.17 / $478.63 / $1,862.66	Professional		$436.17	$478.63	$1,862.66
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 $444.18 / $1,053.79 / $2,792.81	Professional		$444.18	$1,053.79	$2,792.81
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 $1,227.33 / $1,434.23 / $2,200.14	Facility		$1,227.33	$1,434.23	$2,200.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $693.09 / $1,873.22 / $2,128.66	Professional		$693.09	$1,873.22	$2,128.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $587.34 / $968.29	Facility		$448.00	$587.34	$968.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $456.64 / $921.13 / $8,384.00	Facility		$456.64	$921.13	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $483.60 / $893.20 / $3,488.56	Professional		$483.60	$893.20	$3,488.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $273.93 / $896.03	Professional		$61.84	$273.93	$896.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $584.79 / $968.29	Facility		$448.00	$584.79	$968.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $937.95 / $1,142.85 / $1,706.06	Professional		$937.95	$1,142.85	$1,706.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $876.41 / $2,217.44 / $3,488.56	Professional		$876.41	$2,217.44	$3,488.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,502.87 / $1,502.87 / $1,502.87	Professional		$1,502.87	$1,502.87	$1,502.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $866.87 / $2,305.28 / $2,981.14	Professional		$866.87	$2,305.28	$2,981.14
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,754.00 / $8,384.00	Facility		$4,918.00	$6,754.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $483.60 / $971.24 / $2,017.88	Professional		$483.60	$971.24	$2,017.88