Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.37 / $688.57 / $3,119.00	Facility		$323.37	$688.57	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.76 / $472.92 / $1,518.41	Professional		$304.76	$472.92	$1,518.41
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 $409.64 / $746.23 / $2,115.42	Professional		$409.64	$746.23	$2,115.42
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 $1,304.82 / $1,524.79 / $2,339.06	Facility		$1,304.82	$1,524.79	$2,339.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.66 / $1,261.51 / $2,242.78	Professional		$536.66	$1,261.51	$2,242.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $323.37 / $522.27 / $1,006.16	Facility		$323.37	$522.27	$1,006.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $333.45 / $627.47 / $7,160.00	Facility		$333.45	$627.47	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $511.21 / $1,076.92 / $3,629.12	Professional		$511.21	$1,076.92	$3,629.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $279.47 / $925.14	Professional		$52.59	$279.47	$925.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $323.37 / $522.27 / $1,006.16	Facility		$323.37	$522.27	$1,006.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $763.36 / $1,111.25 / $1,637.96	Professional		$763.36	$1,111.25	$1,637.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,555.28 / $1,555.28 / $3,244.77	Facility		$1,555.28	$1,555.28	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $695.99 / $2,077.61 / $3,629.12	Professional		$695.99	$2,077.61	$3,629.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,026.11 / $2,122.31 / $3,140.90	Professional		$1,026.11	$2,122.31	$3,140.90
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 $507.42 / $962.46 / $2,175.28	Professional		$507.42	$962.46	$2,175.28