Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.34 / $765.23 / $8,243.00	Facility		$360.34	$765.23	$8,243.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.87 / $508.66 / $1,942.10	Professional		$350.87	$508.66	$1,942.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.48 / $831.55 / $2,223.03	Professional		$456.48	$831.55	$2,223.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,942.50 / $1,942.50 / $1,942.50	Facility		$1,942.50	$1,942.50	$1,942.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,376.01 / $1,607.98 / $2,466.67	Facility		$1,376.01	$1,607.98	$2,466.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.71 / $1,337.85 / $2,375.34	Professional		$611.71	$1,337.85	$2,375.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $360.34 / $545.32 / $1,060.55	Facility		$360.34	$545.32	$1,060.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $367.18 / $711.66 / $6,955.00	Facility		$367.18	$711.66	$6,955.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $581.51 / $1,179.14 / $3,849.36	Professional		$581.51	$1,179.14	$3,849.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $302.11 / $992.62	Professional		$61.84	$302.11	$992.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $360.34 / $544.16 / $1,060.55	Facility		$360.34	$544.16	$1,060.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $830.52 / $1,186.26 / $1,729.02	Professional		$830.52	$1,186.26	$1,729.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,720.00 / $1,720.00 / $1,722.47	Facility		$1,720.00	$1,720.00	$1,722.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $774.65 / $2,200.41 / $3,849.36	Professional		$774.65	$2,200.41	$3,849.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,192.36 / $1,192.36 / $1,694.50	Professional		$1,192.36	$1,192.36	$1,694.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,502.53 / $2,362.16 / $3,326.60	Professional		$1,502.53	$2,362.16	$3,326.60
United Facility/Professional Facility Modifier Low / Median / High Price $4,092.17 / $6,477.00 / $8,384.00	Facility		$4,092.17	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $541.85 / $1,033.05 / $2,337.52	Professional		$541.85	$1,033.05	$2,337.52