Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.59 / $869.24 / $14,482.00	Facility		$408.59	$869.24	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.25 / $420.59 / $2,188.19	Professional		$406.25	$420.59	$2,188.19
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 $458.43 / $903.27 / $2,574.42	Professional		$458.43	$903.27	$2,574.42
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 $1,092.16 / $1,276.27 / $1,957.83	Facility		$1,092.16	$1,276.27	$1,957.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.02 / $1,672.78 / $1,900.89	Professional		$651.02	$1,672.78	$1,900.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $406.25 / $572.03 / $959.40	Facility		$406.25	$572.03	$959.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $408.59 / $830.61 / $11,100.00	Facility		$408.59	$830.61	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $516.27 / $921.91 / $3,222.57	Professional		$516.27	$921.91	$3,222.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $289.30 / $829.85	Professional		$62.75	$289.30	$829.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $406.25 / $513.44 / $959.40	Facility		$406.25	$513.44	$959.40
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 $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 $782.62 / $2,288.90 / $3,222.57	Professional		$782.62	$2,288.90	$3,222.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.84 / $1,380.84 / $1,380.84	Professional		$1,380.84	$1,380.84	$1,380.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,241.77 / $2,376.78 / $2,662.11	Professional		$1,241.77	$2,376.78	$2,662.11
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $499.48 / $888.09 / $2,096.63	Professional		$499.48	$888.09	$2,096.63