Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.93 / $497.81 / $3,119.00	Facility		$232.93	$497.81	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.34 / $364.17 / $1,253.85	Professional		$226.34	$364.17	$1,253.85
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 $295.07 / $537.53 / $1,429.35	Professional		$295.07	$537.53	$1,429.35
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 $989.43 / $1,156.23 / $1,773.68	Facility		$989.43	$1,156.23	$1,773.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.62 / $900.90 / $1,698.18	Professional		$407.62	$900.90	$1,698.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $232.93 / $375.56 / $759.51	Facility		$232.93	$375.56	$759.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.34 / $466.44 / $7,160.00	Facility		$239.34	$466.44	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $410.22 / $829.69 / $2,741.12	Professional		$410.22	$829.69	$2,741.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $209.92 / $702.79	Professional		$38.65	$209.92	$702.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $232.93 / $375.56 / $759.51	Facility		$232.93	$375.56	$759.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $546.86 / $816.91 / $1,229.86	Professional		$546.86	$816.91	$1,229.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,115.08 / $1,115.08 / $3,244.77	Facility		$1,115.08	$1,115.08	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $502.74 / $1,573.11 / $2,741.12	Professional		$502.74	$1,573.11	$2,741.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $769.17 / $769.17 / $1,214.25	Professional		$769.17	$769.17	$1,214.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,010.76 / $1,533.07 / $2,378.27	Professional		$1,010.76	$1,533.07	$2,378.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,754.00 / $8,384.00	Facility		$4,918.00	$6,754.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $388.32 / $737.50 / $1,683.34	Professional		$388.32	$737.50	$1,683.34