Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.94 / $883.76 / $14,482.00	Facility		$411.94	$883.76	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.26 / $432.08 / $1,471.59	Professional		$376.26	$432.08	$1,471.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.66 / $950.62 / $2,697.67	Professional		$409.66	$950.62	$2,697.67
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 $1,111.08 / $1,298.39 / $1,991.76	Facility		$1,111.08	$1,298.39	$1,991.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.60 / $1,700.70 / $1,932.61	Professional		$653.60	$1,700.70	$1,932.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $411.94 / $576.72 / $981.95	Facility		$411.94	$576.72	$981.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $411.94 / $847.00 / $11,100.00	Facility		$411.94	$847.00	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $468.88 / $886.34 / $3,239.10	Professional		$468.88	$886.34	$3,239.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $327.21 / $859.41	Professional		$62.75	$327.21	$859.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $411.94 / $576.72 / $981.95	Facility		$411.94	$576.72	$981.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $845.00 / $1,029.59 / $1,536.99	Professional		$845.00	$1,029.59	$1,536.99
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 $795.68 / $2,044.90 / $3,239.10	Professional		$795.68	$2,044.90	$3,239.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $781.61 / $2,128.30 / $2,706.51	Professional		$781.61	$2,128.30	$2,706.51
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $441.01 / $852.16 / $1,826.18	Professional		$441.01	$852.16	$1,826.18