Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.75 / $741.94 / $6,461.00	Facility		$333.75	$741.94	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.33 / $513.53 / $1,481.32	Professional		$303.33	$513.53	$1,481.32
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 $422.80 / $770.20 / $2,064.16	Professional		$422.80	$770.20	$2,064.16
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 $1,461.62 / $1,708.01 / $2,620.14	Facility		$1,461.62	$1,708.01	$2,620.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.51 / $1,371.15 / $2,357.98	Professional		$579.51	$1,371.15	$2,357.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $333.75 / $527.94 / $1,119.23	Facility		$333.75	$527.94	$1,119.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $334.89 / $618.75 / $7,160.00	Facility		$334.89	$618.75	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $525.78 / $1,133.39 / $4,044.56	Professional		$525.78	$1,133.39	$4,044.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $325.93 / $1,065.98	Professional		$52.59	$325.93	$1,065.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $333.75 / $527.94 / $1,119.23	Facility		$333.75	$527.94	$1,119.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $829.82 / $1,235.53 / $1,888.66	Professional		$829.82	$1,235.53	$1,888.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,647.03 / $1,647.03 / $3,244.77	Facility		$1,647.03	$1,647.03	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $730.98 / $2,318.76 / $4,044.56	Professional		$730.98	$2,318.76	$4,044.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,052.16 / $2,229.03 / $3,505.51	Professional		$1,052.16	$2,229.03	$3,505.51
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 $522.94 / $966.89 / $2,204.96	Professional		$522.94	$966.89	$2,204.96