Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.38 / $685.10 / $3,119.00	Facility		$316.38	$685.10	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.38 / $447.01 / $1,763.92	Professional		$316.38	$447.01	$1,763.92
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 $400.80 / $686.50 / $1,948.81	Professional		$400.80	$686.50	$1,948.81
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 $1,196.69 / $1,398.42 / $2,145.21	Facility		$1,196.69	$1,398.42	$2,145.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.88 / $1,202.83 / $2,059.98	Professional		$564.88	$1,202.83	$2,059.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $313.67 / $474.57 / $942.73	Facility		$313.67	$474.57	$942.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $316.38 / $538.34 / $7,160.00	Facility		$316.38	$538.34	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $511.81 / $1,057.85 / $3,483.30	Professional		$511.81	$1,057.85	$3,483.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $293.47 / $947.18	Professional		$52.59	$293.47	$947.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $316.38 / $474.57 / $942.73	Facility		$316.38	$474.57	$942.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $751.14 / $1,072.88 / $1,563.76	Professional		$751.14	$1,072.88	$1,563.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,538.04 / $1,538.04 / $3,244.77	Facility		$1,538.04	$1,538.04	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $681.86 / $1,908.27 / $3,483.30	Professional		$681.86	$1,908.27	$3,483.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,045.30 / $1,045.30 / $1,479.20	Professional		$1,045.30	$1,045.30	$1,479.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,020.95 / $2,067.88 / $2,884.94	Professional		$1,020.95	$2,067.88	$2,884.94
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.98 / $946.12 / $2,097.10	Professional		$492.98	$946.12	$2,097.10