Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.98 / $938.61 / $14,482.00	Facility		$441.98	$938.61	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.83 / $462.54 / $2,045.89	Professional		$421.83	$462.54	$2,045.89
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 $428.58 / $883.96 / $2,700.11	Professional		$428.58	$883.96	$2,700.11
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 $1,190.38 / $1,391.05 / $2,133.91	Facility		$1,190.38	$1,391.05	$2,133.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $670.62 / $1,815.22 / $2,062.75	Professional		$670.62	$1,815.22	$2,062.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $441.98 / $580.79 / $938.61	Facility		$441.98	$580.79	$938.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $441.98 / $891.03 / $8,296.28	Facility		$441.98	$891.03	$8,296.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $477.29 / $937.34 / $3,378.00	Professional		$477.29	$937.34	$3,378.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $273.93 / $878.83	Professional		$61.81	$273.93	$878.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $441.98 / $566.75 / $938.61	Facility		$441.98	$566.75	$938.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $908.70 / $1,107.22 / $1,652.86	Professional		$908.70	$1,107.22	$1,652.86
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 $849.26 / $2,140.05 / $3,378.00	Professional		$849.26	$2,140.05	$3,378.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,452.99 / $1,452.99 / $1,452.99	Professional		$1,452.99	$1,452.99	$1,452.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,275.11 / $2,227.16 / $2,888.81	Professional		$1,275.11	$2,227.16	$2,888.81
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 $470.81 / $937.34 / $1,947.45	Professional		$470.81	$937.34	$1,947.45