Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.21 / $541.62 / $3,119.00	Facility		$254.21	$541.62	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.21 / $386.80 / $1,509.94	Professional		$254.21	$386.80	$1,509.94
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 $322.02 / $586.64 / $1,566.60	Professional		$322.02	$586.64	$1,566.60
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 $1,049.80 / $1,226.78 / $1,881.91	Facility		$1,049.80	$1,226.78	$1,881.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.03 / $1,010.78 / $1,804.85	Professional		$439.03	$1,010.78	$1,804.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $254.21 / $410.31 / $806.99	Facility		$254.21	$410.31	$806.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.86 / $533.11 / $7,160.00	Facility		$288.86	$533.11	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $463.75 / $983.12 / $2,917.36	Professional		$463.75	$983.12	$2,917.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $227.13 / $710.88	Professional		$52.59	$227.13	$710.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $254.21 / $410.31 / $806.99	Facility		$254.21	$410.31	$806.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $594.07 / $884.63 / $1,304.07	Professional		$594.07	$884.63	$1,304.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,218.44 / $1,218.44 / $3,244.77	Facility		$1,218.44	$1,218.44	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $572.75 / $1,671.93 / $2,917.36	Professional		$572.75	$1,671.93	$2,917.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $840.29 / $840.29 / $1,290.96	Professional		$840.29	$840.29	$1,290.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,180.88 / $1,673.74 / $2,527.66	Professional		$1,180.88	$1,673.74	$2,527.66
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 $463.75 / $875.04 / $1,922.54	Professional		$463.75	$875.04	$1,922.54