Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.35 / $1,223.89 / $6,461.00	Facility		$323.35	$1,223.89	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.38 / $489.42 / $1,722.78	Professional		$308.38	$489.42	$1,722.78
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 $409.63 / $735.80 / $2,108.16	Professional		$409.63	$735.80	$2,108.16
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 $1,324.65 / $1,547.95 / $2,374.60	Facility		$1,324.65	$1,547.95	$2,374.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.91 / $1,232.40 / $2,274.79	Professional		$549.91	$1,232.40	$2,274.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $323.35 / $544.55 / $1,021.05	Facility		$323.35	$544.55	$1,021.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $332.39 / $644.11 / $7,160.00	Facility		$332.39	$644.11	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $517.70 / $1,090.49 / $3,679.28	Professional		$517.70	$1,090.49	$3,679.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $301.24 / $988.24	Professional		$52.59	$301.24	$988.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $323.35 / $544.55 / $1,021.05	Facility		$323.35	$544.55	$1,021.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $762.60 / $1,128.80 / $1,663.82	Professional		$762.60	$1,128.80	$1,663.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,551.92 / $1,551.92 / $3,244.77	Facility		$1,551.92	$1,551.92	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $694.35 / $2,107.26 / $3,679.28	Professional		$694.35	$2,107.26	$3,679.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.37 / $2,117.33 / $3,185.72	Professional		$1,023.37	$2,117.33	$3,185.72
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 $95.00 / $1,297.16 / $2,205.19	Professional		$95.00	$1,297.16	$2,205.19