Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.38 / $589.16 / $6,461.00	Facility		$276.38	$589.16	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.52 / $414.65 / $1,479.21	Professional		$272.52	$414.65	$1,479.21
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 $350.12 / $637.79 / $1,806.22	Professional		$350.12	$637.79	$1,806.22
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 $1,123.70 / $1,313.13 / $2,014.37	Facility		$1,123.70	$1,313.13	$2,014.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.64 / $1,034.35 / $1,930.56	Professional		$475.64	$1,034.35	$1,930.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $276.38 / $446.24 / $862.00	Facility		$276.38	$446.24	$862.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $284.85 / $538.28 / $7,160.00	Facility		$284.85	$538.28	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.47 / $931.91 / $3,122.80	Professional		$457.47	$931.91	$3,122.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $235.40 / $764.87	Professional		$52.59	$235.40	$764.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $276.38 / $446.24 / $862.00	Facility		$276.38	$446.24	$862.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $652.02 / $953.38 / $1,405.25	Professional		$652.02	$953.38	$1,405.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,328.48 / $1,328.48 / $3,244.77	Facility		$1,328.48	$1,328.48	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $595.95 / $1,788.39 / $3,122.80	Professional		$595.95	$1,788.39	$3,122.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $877.98 / $1,817.25 / $2,703.67	Professional		$877.98	$1,817.25	$2,703.67
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 $426.29 / $909.25 / $1,896.94	Professional		$426.29	$909.25	$1,896.94