Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.54 / $862.13 / $14,482.00	Facility		$404.54	$862.13	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.19 / $420.45 / $1,844.98	Professional		$385.19	$420.45	$1,844.98
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 $385.39 / $933.56 / $2,421.44	Professional		$385.39	$933.56	$2,421.44
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 $1,093.06 / $1,277.33 / $1,959.45	Facility		$1,093.06	$1,277.33	$1,959.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $610.64 / $1,664.31 / $1,891.26	Professional		$610.64	$1,664.31	$1,891.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $383.17 / $473.31 / $862.13	Facility		$383.17	$473.31	$862.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $383.17 / $801.04 / $4,130.00	Facility		$383.17	$801.04	$4,130.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $419.72 / $775.82 / $3,090.16	Professional		$419.72	$775.82	$3,090.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $252.04 / $826.95	Professional		$38.65	$252.04	$826.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $383.17 / $473.31 / $862.13	Facility		$383.17	$473.31	$862.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $832.00 / $1,013.76 / $1,513.34	Professional		$832.00	$1,013.76	$1,513.34
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 $778.66 / $1,929.90 / $3,090.16	Professional		$778.66	$1,929.90	$3,090.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,329.62 / $1,329.62 / $1,329.62	Professional		$1,329.62	$1,329.62	$1,329.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,101.28 / $2,024.14 / $2,648.62	Professional		$1,101.28	$2,024.14	$2,648.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $419.72 / $842.18 / $1,767.79	Professional		$419.72	$842.18	$1,767.79