Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.54 / $800.48 / $3,119.00	Facility		$381.54	$800.48	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.56 / $520.48 / $1,779.55	Professional		$361.56	$520.48	$1,779.55
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 $483.34 / $880.48 / $2,348.90	Professional		$483.34	$880.48	$2,348.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,389.53 / $1,623.77 / $2,490.91	Facility		$1,389.53	$1,623.77	$2,490.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $641.39 / $1,407.22 / $2,391.42	Professional		$641.39	$1,407.22	$2,391.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $381.54 / $569.94 / $1,068.64	Facility		$381.54	$569.94	$1,068.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $391.69 / $682.50 / $7,160.00	Facility		$391.69	$682.50	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $569.41 / $1,178.01 / $4,671.34	Professional		$569.41	$1,178.01	$4,671.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $317.56 / $1,024.23	Professional		$61.84	$317.56	$1,024.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $381.54 / $569.94 / $1,068.64	Facility		$381.54	$569.94	$1,068.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $881.02 / $1,212.65 / $1,763.87	Professional		$881.02	$1,212.65	$1,763.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,838.64 / $1,838.64 / $2,469.60	Facility		$1,838.64	$1,838.64	$2,469.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $812.60 / $2,215.31 / $4,671.34	Professional		$812.60	$2,215.31	$4,671.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,192.90 / $2,477.86 / $3,349.14	Professional		$1,192.90	$2,477.86	$3,349.14
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 $563.98 / $1,054.54 / $2,332.83	Professional		$563.98	$1,054.54	$2,332.83