Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.37 / $779.56 / $14,482.00	Facility		$370.37	$779.56	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.90 / $374.16 / $1,559.14	Professional		$348.90	$374.16	$1,559.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $13,743.77 / $21,606.00	Facility		$5,692.00	$13,743.77	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.70 / $775.61 / $2,172.78	Professional		$310.70	$775.61	$2,172.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,560.77 / $7,560.77 / $7,560.77	Facility		$7,560.77	$7,560.77	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,008.35 / $1,178.33 / $1,807.60	Facility		$1,008.35	$1,178.33	$1,807.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.69 / $1,518.29 / $1,725.33	Professional		$500.69	$1,518.29	$1,725.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $356.53 / $433.33 / $785.18	Facility		$356.53	$433.33	$785.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $370.37 / $601.64 / $8,384.00	Facility		$370.37	$601.64	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.47 / $650.16 / $2,790.96	Professional		$346.47	$650.16	$2,790.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $210.05 / $755.20	Professional		$30.95	$210.05	$755.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $356.53 / $433.33 / $785.18	Facility		$356.53	$433.33	$785.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $744.25 / $906.84 / $1,300.26	Professional		$744.25	$906.84	$1,300.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $710.34 / $1,630.90 / $2,790.96	Professional		$710.34	$1,630.90	$2,790.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,220.64 / $1,220.64 / $1,220.64	Professional		$1,220.64	$1,220.64	$1,220.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $917.33 / $1,808.21 / $2,416.23	Professional		$917.33	$1,808.21	$2,416.23
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $7,611.00 / $9,134.00	Facility		$4,614.00	$7,611.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $346.47 / $607.91 / $1,484.12	Professional		$346.47	$607.91	$1,484.12