Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.37 / $995.27 / $8,098.40	Facility		$318.37	$995.27	$8,098.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.07 / $474.66 / $1,474.82	Professional		$303.07	$474.66	$1,474.82
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 $403.32 / $734.70 / $2,055.16	Professional		$403.32	$734.70	$2,055.16
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 $1,300.32 / $1,519.52 / $2,330.98	Facility		$1,300.32	$1,519.52	$2,330.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.03 / $1,181.77 / $2,231.41	Professional		$524.03	$1,181.77	$2,231.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $315.00 / $481.76 / $995.27	Facility		$315.00	$481.76	$995.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $318.37 / $619.90 / $7,160.00	Facility		$318.37	$619.90	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.65 / $1,063.34 / $3,608.16	Professional		$501.65	$1,063.34	$3,608.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $279.47 / $915.43	Professional		$52.59	$279.47	$915.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $315.00 / $481.76 / $995.27	Facility		$315.00	$481.76	$995.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $747.35 / $1,101.33 / $1,623.34	Professional		$747.35	$1,101.33	$1,623.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,526.16 / $1,526.16 / $3,244.77	Facility		$1,526.16	$1,526.16	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $682.24 / $2,067.08 / $3,608.16	Professional		$682.24	$2,067.08	$3,608.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,001.54 / $2,080.40 / $3,124.99	Professional		$1,001.54	$2,080.40	$3,124.99
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 $501.65 / $933.79 / $2,110.25	Professional		$501.65	$933.79	$2,110.25