Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.73 / $1,714.76 / $10,156.56	Facility		$305.73	$1,714.76	$10,156.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.08 / $461.41 / $1,654.86	Professional		$287.08	$461.41	$1,654.86
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 $387.30 / $705.53 / $1,787.36	Professional		$387.30	$705.53	$1,787.36
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 $1,251.66 / $1,462.66 / $2,243.76	Facility		$1,251.66	$1,462.66	$2,243.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.45 / $1,206.48 / $2,150.53	Professional		$506.45	$1,206.48	$2,150.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $305.73 / $491.51 / $962.15	Facility		$305.73	$491.51	$962.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $313.07 / $589.84 / $6,669.00	Facility		$313.07	$589.84	$6,669.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $490.83 / $1,033.70 / $3,477.20	Professional		$490.83	$1,033.70	$3,477.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $272.11 / $890.73	Professional		$52.59	$272.11	$890.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $305.73 / $487.85 / $962.15	Facility		$305.73	$487.85	$962.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $720.66 / $1,062.44 / $1,566.01	Professional		$720.66	$1,062.44	$1,566.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,467.52 / $1,467.52 / $1,722.47	Facility		$1,467.52	$1,467.52	$1,722.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $657.90 / $1,992.15 / $3,477.20	Professional		$657.90	$1,992.15	$3,477.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $968.82 / $2,006.19 / $3,011.78	Professional		$968.82	$2,006.19	$3,011.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.49 / $930.10 / $2,090.36	Professional		$486.49	$930.10	$2,090.36