Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.11 / $996.08 / $6,461.00	Facility		$310.11	$996.08	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.74 / $468.67 / $1,660.63	Professional		$293.74	$468.67	$1,660.63
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 $392.85 / $715.63 / $1,897.09	Professional		$392.85	$715.63	$1,897.09
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 $1,293.10 / $1,511.10 / $2,318.06	Facility		$1,293.10	$1,511.10	$2,318.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.94 / $1,179.75 / $2,115.40	Professional		$527.94	$1,179.75	$2,115.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $310.11 / $495.69 / $996.08	Facility		$310.11	$495.69	$996.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $317.50 / $621.58 / $7,160.00	Facility		$317.50	$621.58	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $527.20 / $1,077.46 / $3,590.80	Professional		$527.20	$1,077.46	$3,590.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $279.47 / $919.37	Professional		$52.59	$279.47	$919.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $310.11 / $495.69 / $996.08	Facility		$310.11	$495.69	$996.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $731.33 / $1,089.04 / $1,621.10	Professional		$731.33	$1,089.04	$1,621.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,487.08 / $1,487.08 / $3,244.77	Facility		$1,487.08	$1,487.08	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $666.00 / $2,057.27 / $3,590.80	Professional		$666.00	$2,057.27	$3,590.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $983.03 / $2,030.88 / $3,110.13	Professional		$983.03	$2,030.88	$3,110.13
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $507.78 / $967.34 / $2,231.52	Professional		$507.78	$967.34	$2,231.52