Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.11 / $654.19 / $3,119.00	Facility		$304.11	$654.19	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.18 / $455.45 / $1,611.58	Professional		$300.18	$455.45	$1,611.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.26 / $667.74 / $1,921.94	Professional		$385.26	$667.74	$1,921.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,942.50 / $1,942.50 / $1,942.50	Facility		$1,942.50	$1,942.50	$1,942.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,241.74 / $1,451.08 / $2,225.98	Facility		$1,241.74	$1,451.08	$2,225.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $509.75 / $1,192.60 / $2,132.80	Professional		$509.75	$1,192.60	$2,132.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $304.11 / $465.20 / $958.99	Facility		$304.11	$465.20	$958.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $311.44 / $546.51 / $6,669.00	Facility		$311.44	$546.51	$6,669.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $492.66 / $1,012.37 / $3,448.32	Professional		$492.66	$1,012.37	$3,448.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $272.11 / $885.39	Professional		$52.59	$272.11	$885.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $304.11 / $465.20 / $958.99	Facility		$304.11	$465.20	$958.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $725.23 / $1,060.92 / $1,563.76	Professional		$725.23	$1,060.92	$1,563.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,466.20 / $1,466.20 / $1,722.47	Facility		$1,466.20	$1,466.20	$1,722.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $657.56 / $1,975.73 / $3,448.32	Professional		$657.56	$1,975.73	$3,448.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,269.91 / $2,005.16 / $2,986.88	Professional		$1,269.91	$2,005.16	$2,986.88
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 $475.66 / $908.08 / $2,058.23	Professional		$475.66	$908.08	$2,058.23