Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.92 / $734.69 / $6,461.00	Facility		$344.92	$734.69	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.52 / $473.19 / $1,624.96	Professional		$325.52	$473.19	$1,624.96
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 $436.95 / $795.96 / $2,102.94	Professional		$436.95	$795.96	$2,102.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,285.90 / $1,502.67 / $2,305.14	Facility		$1,285.90	$1,502.67	$2,305.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.27 / $1,250.16 / $2,216.73	Professional		$571.27	$1,250.16	$2,216.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $344.92 / $533.74 / $1,000.76	Facility		$344.92	$533.74	$1,000.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.45 / $664.20 / $4,377.80	Facility		$354.45	$664.20	$4,377.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $519.59 / $1,079.30 / $3,593.20	Professional		$519.59	$1,079.30	$3,593.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $276.50 / $888.06	Professional		$61.84	$276.50	$888.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $344.92 / $533.74 / $1,000.76	Facility		$344.92	$533.74	$1,000.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $781.38 / $1,116.07 / $1,626.72	Professional		$781.38	$1,116.07	$1,626.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,647.52 / $1,647.52 / $2,469.60	Facility		$1,647.52	$1,647.52	$2,469.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $739.48 / $2,053.48 / $3,593.20	Professional		$739.48	$2,053.48	$3,593.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,094.85 / $2,254.89 / $3,104.45	Professional		$1,094.85	$2,254.89	$3,104.45
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $507.06 / $997.62 / $2,301.69	Professional		$507.06	$997.62	$2,301.69