Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.39 / $861.21 / $8,243.00	Facility		$406.39	$861.21	$8,243.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.58 / $562.41 / $2,191.65	Professional		$396.58	$562.41	$2,191.65
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 $514.82 / $937.82 / $2,654.85	Professional		$514.82	$937.82	$2,654.85
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 $1,519.29 / $1,775.41 / $2,723.52	Facility		$1,519.29	$1,775.41	$2,723.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $669.84 / $1,503.84 / $2,626.88	Professional		$669.84	$1,503.84	$2,626.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $406.39 / $612.41 / $1,170.44	Facility		$406.39	$612.41	$1,170.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $413.38 / $786.81 / $7,318.00	Facility		$413.38	$786.81	$7,318.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $638.54 / $1,304.71 / $4,262.24	Professional		$638.54	$1,304.71	$4,262.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $335.37 / $1,067.46	Professional		$66.47	$335.37	$1,067.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $406.39 / $609.59 / $1,170.44	Facility		$406.39	$609.59	$1,170.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $917.46 / $1,310.44 / $1,910.02	Professional		$917.46	$1,310.44	$1,910.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,937.08 / $1,937.08 / $3,244.77	Facility		$1,937.08	$1,937.08	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $872.39 / $2,433.42 / $4,262.24	Professional		$872.39	$2,433.42	$4,262.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,346.40 / $1,346.40 / $1,873.13	Professional		$1,346.40	$1,346.40	$1,873.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,642.25 / $2,660.24 / $3,678.83	Professional		$1,642.25	$2,660.24	$3,678.83
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 $598.00 / $1,133.09 / $2,727.59	Professional		$598.00	$1,133.09	$2,727.59