Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.09 / $988.61 / $14,482.00	Facility		$466.09	$988.61	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.57 / $466.09 / $2,238.90	Professional		$455.57	$466.09	$2,238.90
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 $473.04 / $1,075.58 / $2,876.83	Professional		$473.04	$1,075.58	$2,876.83
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 $1,244.45 / $1,454.23 / $2,230.83	Facility		$1,244.45	$1,454.23	$2,230.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.15 / $1,882.93 / $2,178.98	Professional		$658.15	$1,882.93	$2,178.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $448.85 / $572.69 / $988.61	Facility		$448.85	$572.69	$988.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $455.57 / $755.15 / $7,791.00	Facility		$455.57	$755.15	$7,791.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $532.95 / $1,015.09 / $3,569.61	Professional		$532.95	$1,015.09	$3,569.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $277.53 / $901.54	Professional		$61.84	$277.53	$901.54
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $448.85 / $562.41 / $988.61	Facility		$448.85	$562.41	$988.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $925.60 / $1,127.81 / $1,683.60	Professional		$925.60	$1,127.81	$1,683.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $4,754.80	Facility		$1,722.47	$1,722.47	$4,754.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $870.20 / $2,341.94 / $3,569.61	Professional		$870.20	$2,341.94	$3,569.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,543.08 / $1,543.08 / $1,543.08	Professional		$1,543.08	$1,543.08	$1,543.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $923.72 / $2,426.42 / $3,051.62	Professional		$923.72	$2,426.42	$3,051.62
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $7,495.00 / $9,134.00	Facility		$4,103.00	$7,495.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $517.21 / $982.82 / $2,247.48	Professional		$517.21	$982.82	$2,247.48