Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.14 / $961.29 / $14,482.00	Facility		$457.14	$961.29	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.83 / $475.11 / $1,614.52	Professional		$435.83	$475.11	$1,614.52
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 $447.37 / $1,054.93 / $2,676.11	Professional		$447.37	$1,054.93	$2,676.11
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 $1,226.42 / $1,433.17 / $2,198.53	Facility		$1,226.42	$1,433.17	$2,198.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $747.67 / $1,849.94 / $2,138.96	Professional		$747.67	$1,849.94	$2,138.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $457.14 / $640.86 / $1,068.09	Facility		$457.14	$640.86	$1,068.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.67 / $843.75 / $5,261.00	Facility		$467.67	$843.75	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $536.64 / $1,109.48 / $4,818.24	Professional		$536.64	$1,109.48	$4,818.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $337.21 / $924.08	Professional		$62.75	$337.21	$924.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $457.14 / $640.86 / $1,068.09	Facility		$457.14	$640.86	$1,068.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $926.25 / $1,128.59 / $1,684.78	Professional		$926.25	$1,128.59	$1,684.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $6,817.20	Facility		$2,469.60	$2,469.60	$6,817.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $880.64 / $2,224.05 / $4,818.24	Professional		$880.64	$2,224.05	$4,818.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $852.66 / $2,335.03 / $2,995.53	Professional		$852.66	$2,335.03	$2,995.53
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 $505.77 / $981.45 / $2,023.89	Professional		$505.77	$981.45	$2,023.89