Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.86 / $886.75 / $8,518.69	Facility		$292.86	$886.75	$8,518.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.69 / $414.28 / $1,115.80	Professional		$274.69	$414.28	$1,115.80
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 $370.99 / $675.83 / $1,797.95	Professional		$370.99	$675.83	$1,797.95
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 $1,148.03 / $1,341.56 / $2,057.98	Facility		$1,148.03	$1,341.56	$2,057.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.93 / $1,047.75 / $1,975.84	Professional		$483.93	$1,047.75	$1,975.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $292.86 / $463.81 / $886.75	Facility		$292.86	$463.81	$886.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.43 / $553.15 / $7,160.00	Facility		$302.43	$553.15	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $464.36 / $960.89 / $3,197.76	Professional		$464.36	$960.89	$3,197.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $249.87 / $822.08	Professional		$52.59	$249.87	$822.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $292.86 / $450.85 / $886.75	Facility		$292.86	$450.85	$886.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $686.34 / $977.02 / $1,438.98	Professional		$686.34	$977.02	$1,438.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,399.04 / $1,399.04 / $3,244.77	Facility		$1,399.04	$1,399.04	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $628.84 / $1,830.33 / $3,197.76	Professional		$628.84	$1,830.33	$3,197.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $927.04 / $1,917.53 / $2,767.09	Professional		$927.04	$1,917.53	$2,767.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $456.98 / $857.58 / $2,049.16	Professional		$456.98	$857.58	$2,049.16