Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.17 / $1,008.16 / $7,212.63	Facility		$331.17	$1,008.16	$7,212.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.95 / $481.83 / $2,667.59	Professional		$312.95	$481.83	$2,667.59
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 $419.53 / $764.24 / $2,028.47	Professional		$419.53	$764.24	$2,028.47
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 $1,306.61 / $1,526.89 / $2,342.29	Facility		$1,306.61	$1,526.89	$2,342.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.16 / $1,239.99 / $2,245.54	Professional		$550.16	$1,239.99	$2,245.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $327.41 / $496.76 / $1,008.16	Facility		$327.41	$496.76	$1,008.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $327.41 / $607.78 / $6,955.00	Facility		$327.41	$607.78	$6,955.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $512.83 / $1,089.47 / $3,632.56	Professional		$512.83	$1,089.47	$3,632.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $279.47 / $925.14	Professional		$52.59	$279.47	$925.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $327.41 / $496.76 / $1,008.16	Facility		$327.41	$496.76	$1,008.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $780.90 / $1,112.89 / $1,639.08	Professional		$780.90	$1,112.89	$1,639.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,588.96 / $1,588.96 / $3,244.77	Facility		$1,588.96	$1,588.96	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $712.91 / $2,080.17 / $3,632.56	Professional		$712.91	$2,080.17	$3,632.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,051.90 / $2,173.91 / $3,144.84	Professional		$1,051.90	$2,173.91	$3,144.84
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 $424.41 / $1,258.95 / $2,225.04	Professional		$424.41	$1,258.95	$2,225.04