Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.97 / $683.44 / $6,461.00	Facility		$320.97	$683.44	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.69 / $484.69 / $1,704.45	Professional		$320.69	$484.69	$1,704.45
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 $406.62 / $740.71 / $2,086.61	Professional		$406.62	$740.71	$2,086.61
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 $1,316.54 / $1,538.48 / $2,360.06	Facility		$1,316.54	$1,538.48	$2,360.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.41 / $1,201.58 / $2,260.69	Professional		$544.41	$1,201.58	$2,260.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $320.97 / $486.00 / $1,011.21	Facility		$320.97	$486.00	$1,011.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.64 / $576.22 / $7,160.00	Facility		$331.64	$576.22	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $521.49 / $1,077.05 / $3,656.72	Professional		$521.49	$1,077.05	$3,656.72
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 $320.97 / $486.00 / $1,011.21	Facility		$320.97	$486.00	$1,011.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $759.55 / $1,120.41 / $1,651.45	Professional		$759.55	$1,120.41	$1,651.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,545.60 / $1,545.60 / $3,244.77	Facility		$1,545.60	$1,545.60	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $691.44 / $2,094.21 / $3,656.72	Professional		$691.44	$2,094.21	$3,656.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,018.47 / $2,108.48 / $3,166.08	Professional		$1,018.47	$2,108.48	$3,166.08
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $7,495.00 / $9,134.00	Facility		$4,614.00	$7,495.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $511.01 / $903.49 / $2,137.44	Professional		$511.01	$903.49	$2,137.44