Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.33 / $528.92 / $6,461.00	Facility		$254.33	$528.92	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.33 / $524.90 / $2,529.77	Professional		$254.33	$524.90	$2,529.77
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 $379.04 / $690.19 / $2,314.67	Professional		$379.04	$690.19	$2,314.67
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 $995.74 / $1,163.59 / $1,784.99	Facility		$995.74	$1,163.59	$1,784.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.52 / $1,031.47 / $1,729.21	Professional		$469.52	$1,031.47	$1,729.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $256.56 / $528.92 / $977.24	Facility		$256.56	$528.92	$977.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $273.00 / $606.16 / $7,160.00	Facility		$273.00	$606.16	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $728.29 / $1,521.36 / $4,561.17	Professional		$728.29	$1,521.36	$4,561.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $210.75 / $584.08 / $899.32	Professional		$210.75	$584.08	$899.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $256.56 / $539.09 / $977.24	Facility		$256.56	$539.09	$977.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $587.96 / $855.66 / $1,325.36	Professional		$587.96	$855.66	$1,325.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,473.78 / $1,473.78 / $3,244.77	Facility		$1,473.78	$1,473.78	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $622.95 / $2,742.05 / $4,561.17	Professional		$622.95	$2,742.05	$4,561.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,641.51 / $2,317.37 / $2,875.03	Professional		$1,641.51	$2,317.37	$2,875.03
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 $654.71 / $1,401.03 / $3,370.54	Professional		$654.71	$1,401.03	$3,370.54