Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.08 / $957.85 / $10,248.74	Facility		$289.08	$957.85	$10,248.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.73 / $453.39 / $1,545.14	Professional		$271.73	$453.39	$1,545.14
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 $366.21 / $667.11 / $1,768.93	Professional		$366.21	$667.11	$1,768.93
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 $1,245.34 / $1,455.29 / $2,232.44	Facility		$1,245.34	$1,455.29	$2,232.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.75 / $1,136.03 / $2,135.81	Professional		$497.75	$1,136.03	$2,135.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $289.08 / $471.00 / $957.85	Facility		$289.08	$471.00	$957.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $301.32 / $577.62 / $7,160.00	Facility		$301.32	$577.62	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $482.16 / $1,025.09 / $3,449.28	Professional		$482.16	$1,025.09	$3,449.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $254.99 / $829.87	Professional		$52.59	$254.99	$829.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $289.08 / $471.00 / $957.85	Facility		$289.08	$471.00	$957.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $689.48 / $1,026.58 / $1,559.27	Professional		$689.48	$1,026.58	$1,559.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,396.88 / $1,396.88 / $3,244.77	Facility		$1,396.88	$1,396.88	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $626.26 / $1,978.52 / $3,449.28	Professional		$626.26	$1,978.52	$3,449.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $926.07 / $1,909.72 / $2,991.17	Professional		$926.07	$1,909.72	$2,991.17
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 $482.16 / $911.20 / $2,072.98	Professional		$482.16	$911.20	$2,072.98