Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.75 / $630.63 / $3,119.00	Facility		$298.75	$630.63	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.11 / $482.56 / $1,123.92	Professional		$295.11	$482.56	$1,123.92
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 $378.46 / $689.42 / $1,753.14	Professional		$378.46	$689.42	$1,753.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,507.48 / $1,507.48 / $1,507.48	Facility		$1,507.48	$1,507.48	$1,507.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,298.51 / $1,517.42 / $2,327.76	Facility		$1,298.51	$1,517.42	$2,327.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.49 / $1,174.80 / $2,223.88	Professional		$520.49	$1,174.80	$2,223.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $298.75 / $486.15 / $990.03	Facility		$298.75	$486.15	$990.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $311.18 / $602.60 / $4,377.80	Facility		$311.18	$602.60	$4,377.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $504.46 / $1,063.32 / $3,778.94	Professional		$504.46	$1,063.32	$3,778.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $295.24 / $944.26	Professional		$52.59	$295.24	$944.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $298.75 / $486.15 / $990.03	Facility		$298.75	$486.15	$990.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $715.41 / $1,108.20 / $1,633.46	Professional		$715.41	$1,108.20	$1,633.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,448.92 / $1,448.92 / $1,455.33	Facility		$1,448.92	$1,448.92	$1,455.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $654.42 / $2,060.10 / $3,778.94	Professional		$654.42	$2,060.10	$3,778.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $939.78 / $1,950.66 / $3,114.48	Professional		$939.78	$1,950.66	$3,114.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $489.01 / $908.34 / $2,027.96	Professional		$489.01	$908.34	$2,027.96