Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.29 / $769.05 / $6,461.00	Facility		$357.29	$769.05	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.29 / $532.04 / $1,452.65	Professional		$334.29	$532.04	$1,452.65
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 $452.61 / $824.51 / $2,192.05	Professional		$452.61	$824.51	$2,192.05
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 $1,464.32 / $1,711.17 / $2,624.98	Facility		$1,464.32	$1,711.17	$2,624.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.19 / $1,365.36 / $2,517.48	Professional		$598.19	$1,365.36	$2,517.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $357.29 / $577.79 / $1,137.51	Facility		$357.29	$577.79	$1,137.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $365.21 / $703.87 / $7,160.00	Facility		$365.21	$703.87	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $576.11 / $1,209.56 / $4,076.40	Professional		$576.11	$1,209.56	$4,076.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $321.46 / $1,056.03	Professional		$61.84	$321.46	$1,056.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $357.29 / $575.78 / $1,137.51	Facility		$357.29	$575.78	$1,137.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $854.87 / $1,258.46 / $1,854.93	Professional		$854.87	$1,258.46	$1,854.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,727.12 / $1,727.12 / $7,213.88	Facility		$1,727.12	$1,727.12	$7,213.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $772.41 / $2,332.08 / $4,076.40	Professional		$772.41	$2,332.08	$4,076.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,146.06 / $2,355.38 / $3,525.64	Professional		$1,146.06	$2,355.38	$3,525.64
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 $569.49 / $1,075.16 / $2,445.98	Professional		$569.49	$1,075.16	$2,445.98