Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.68 / $817.65 / $14,482.00	Facility		$385.68	$817.65	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.51 / $391.60 / $1,457.23	Professional		$364.51	$391.60	$1,457.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.45 / $890.04 / $2,374.05	Professional		$388.45	$890.04	$2,374.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,560.77 / $7,560.77 / $7,560.77	Facility		$7,560.77	$7,560.77	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,030.88 / $1,204.67 / $1,847.99	Facility		$1,030.88	$1,204.67	$1,847.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $633.34 / $1,569.52 / $1,802.76	Professional		$633.34	$1,569.52	$1,802.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $376.37 / $578.52 / $916.65	Facility		$376.37	$578.52	$916.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $385.68 / $801.91 / $15,090.00	Facility		$385.68	$801.91	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $455.22 / $857.34 / $3,959.35	Professional		$455.22	$857.34	$3,959.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $254.59 / $801.98	Professional		$54.30	$254.59	$801.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $376.37 / $578.52 / $916.65	Facility		$376.37	$578.52	$916.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $765.70 / $932.98 / $1,392.75	Professional		$765.70	$932.98	$1,392.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,787.12 / $10,787.12 / $29,777.20	Facility		$10,787.12	$10,787.12	$29,777.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $742.22 / $1,928.50 / $3,959.35	Professional		$742.22	$1,928.50	$3,959.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,277.55 / $1,277.55 / $1,277.55	Professional		$1,277.55	$1,277.55	$1,277.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $852.66 / $1,962.19 / $2,524.69	Professional		$852.66	$1,962.19	$2,524.69
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $416.37 / $786.78 / $1,754.94	Professional		$416.37	$786.78	$1,754.94