Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.80 / $591.92 / $8,243.00	Facility		$277.80	$591.92	$8,243.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.98 / $416.07 / $1,491.71	Professional		$270.98	$416.07	$1,491.71
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 $351.91 / $641.07 / $1,819.90	Professional		$351.91	$641.07	$1,819.90
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 $1,130.00 / $1,320.50 / $2,025.68	Facility		$1,130.00	$1,320.50	$2,025.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.07 / $1,089.41 / $1,941.89	Professional		$467.07	$1,089.41	$1,941.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $277.80 / $442.53 / $867.18	Facility		$277.80	$442.53	$867.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $284.39 / $556.89 / $7,318.00	Facility		$284.39	$556.89	$7,318.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $472.53 / $1,076.17 / $3,139.44	Professional		$472.53	$1,076.17	$3,139.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $235.40 / $764.87	Professional		$52.59	$235.40	$764.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $277.80 / $438.83 / $867.18	Facility		$277.80	$438.83	$867.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $650.50 / $954.90 / $1,407.50	Professional		$650.50	$954.90	$1,407.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,329.92 / $1,329.92 / $3,244.77	Facility		$1,329.92	$1,329.92	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $599.04 / $1,798.88 / $3,139.44	Professional		$599.04	$1,798.88	$3,139.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $916.79 / $916.79 / $1,385.37	Professional		$916.79	$916.79	$1,385.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,296.27 / $1,826.72 / $2,719.58	Professional		$1,296.27	$1,826.72	$2,719.58
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 $462.33 / $883.57 / $1,912.37	Professional		$462.33	$883.57	$1,912.37