Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.81 / $991.19 / $8,243.00	Facility		$323.81	$991.19	$8,243.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.23 / $484.78 / $5,681.00	Professional		$321.23	$484.78	$5,681.00
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 $410.21 / $747.26 / $1,986.26	Professional		$410.21	$747.26	$1,986.26
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 $1,280.49 / $1,496.36 / $2,295.44	Facility		$1,280.49	$1,496.36	$2,295.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.74 / $1,205.30 / $2,203.81	Professional		$534.74	$1,205.30	$2,203.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $323.81 / $523.27 / $991.19	Facility		$323.81	$523.27	$991.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $334.55 / $620.01 / $7,160.00	Facility		$334.55	$620.01	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $505.03 / $1,065.86 / $3,567.84	Professional		$505.03	$1,065.86	$3,567.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $279.47 / $925.14	Professional		$61.84	$279.47	$925.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $323.81 / $520.78 / $991.19	Facility		$323.81	$520.78	$991.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $761.07 / $1,094.57 / $1,612.10	Professional		$761.07	$1,094.57	$1,612.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,547.52 / $1,547.52 / $3,244.77	Facility		$1,547.52	$1,547.52	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $693.73 / $2,041.52 / $3,567.84	Professional		$693.73	$2,041.52	$3,567.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,024.54 / $2,115.40 / $3,086.33	Professional		$1,024.54	$2,115.40	$3,086.33
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 $505.03 / $950.97 / $2,155.42	Professional		$505.03	$950.97	$2,155.42