Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.53 / $732.42 / $14,482.00	Facility		$347.53	$732.42	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.41 / $355.14 / $1,383.46	Professional		$285.41	$355.14	$1,383.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $345.35 / $802.00 / $2,041.73	Professional		$345.35	$802.00	$2,041.73
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 $922.75 / $1,078.30 / $1,654.14	Facility		$922.75	$1,078.30	$1,654.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.04 / $1,419.33 / $1,612.88	Professional		$521.04	$1,419.33	$1,612.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $347.53 / $488.28 / $1,099.00	Facility		$347.53	$488.28	$1,099.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $347.53 / $732.42 / $4,092.17	Facility		$347.53	$732.42	$4,092.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $376.78 / $690.84 / $4,765.06	Professional		$376.78	$690.84	$4,765.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $330.80 / $787.18	Professional		$70.00	$330.80	$787.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $347.53 / $488.28 / $1,099.00	Facility		$347.53	$488.28	$1,099.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $715.00 / $871.20 / $1,300.53	Professional		$715.00	$871.20	$1,300.53
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 $664.05 / $2,117.69 / $4,765.06	Professional		$664.05	$2,117.69	$4,765.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.18 / $1,148.18 / $1,148.18	Professional		$1,148.18	$1,148.18	$1,148.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $989.48 / $1,769.41 / $2,258.77	Professional		$989.48	$1,769.41	$2,258.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $2,910.00 / $4,985.00	Facility		$2,367.00	$2,910.00	$4,985.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.36 / $687.40 / $1,534.69	Professional		$364.36	$687.40	$1,534.69