Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.32 / $901.37 / $8,435.00	Facility		$286.32	$901.37	$8,435.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.87 / $430.96 / $1,343.15	Professional		$271.87	$430.96	$1,343.15
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 $362.72 / $660.75 / $1,817.12	Professional		$362.72	$660.75	$1,817.12
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 $1,167.84 / $1,364.73 / $2,093.53	Facility		$1,167.84	$1,364.73	$2,093.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.86 / $1,067.55 / $2,005.81	Professional		$486.86	$1,067.55	$2,005.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $286.32 / $471.00 / $901.37	Facility		$286.32	$471.00	$901.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.18 / $565.72 / $6,669.00	Facility		$295.18	$565.72	$6,669.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $458.34 / $973.04 / $3,242.00	Professional		$458.34	$973.04	$3,242.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $250.69 / $787.27	Professional		$52.59	$250.69	$787.27
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $286.32 / $467.16 / $901.37	Facility		$286.32	$467.16	$901.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $674.90 / $992.27 / $1,462.58	Professional		$674.90	$992.27	$1,462.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,373.44 / $1,373.44 / $1,722.47	Facility		$1,373.44	$1,373.44	$1,722.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $617.01 / $1,858.10 / $3,242.00	Professional		$617.01	$1,858.10	$3,242.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $911.48 / $1,881.50 / $2,809.07	Professional		$911.48	$1,881.50	$2,809.07
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 $458.34 / $871.81 / $1,931.02	Professional		$458.34	$871.81	$1,931.02