Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.99 / $618.77 / $3,119.00	Facility		$290.99	$618.77	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.79 / $429.23 / $1,529.69	Professional		$287.79	$429.23	$1,529.69
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 $368.62 / $671.51 / $1,788.89	Professional		$368.62	$671.51	$1,788.89
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 $1,189.48 / $1,390.00 / $2,132.30	Facility		$1,189.48	$1,390.00	$2,132.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.59 / $1,080.75 / $2,044.78	Professional		$494.59	$1,080.75	$2,044.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $290.99 / $470.05 / $913.39	Facility		$290.99	$470.05	$913.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $300.95 / $566.13 / $7,160.00	Facility		$300.95	$566.13	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $468.95 / $992.54 / $3,307.36	Professional		$468.95	$992.54	$3,307.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $250.92 / $813.27	Professional		$52.59	$250.92	$813.27
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $290.99 / $466.96 / $913.39	Facility		$290.99	$466.96	$913.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $685.58 / $1,008.29 / $1,486.19	Professional		$685.58	$1,008.29	$1,486.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,396.08 / $1,396.08 / $3,244.77	Facility		$1,396.08	$1,396.08	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $626.38 / $1,894.19 / $3,307.36	Professional		$626.38	$1,894.19	$3,307.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,239.07 / $1,910.06 / $2,863.64	Professional		$1,239.07	$1,910.06	$2,863.64
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $466.64 / $894.92 / $2,007.14	Professional		$466.64	$894.92	$2,007.14