Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.73 / $387.11 / $6,461.00	Facility		$180.73	$387.11	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.14 / $328.04 / $971.75	Professional		$175.14	$328.04	$971.75
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 $228.95 / $417.07 / $1,104.41	Professional		$228.95	$417.07	$1,104.41
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 $897.52 / $1,048.82 / $1,608.91	Facility		$897.52	$1,048.82	$1,608.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.79 / $748.69 / $1,532.71	Professional		$333.79	$748.69	$1,532.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $179.81 / $335.98 / $685.91	Facility		$179.81	$335.98	$685.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $180.73 / $383.15 / $7,160.00	Facility		$180.73	$383.15	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $388.15 / $842.58 / $3,154.62	Professional		$388.15	$842.58	$3,154.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $195.89 / $631.07	Professional		$38.65	$195.89	$631.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $180.73 / $335.98 / $685.91	Facility		$180.73	$335.98	$685.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $425.59 / $710.64 / $1,109.58	Professional		$425.59	$710.64	$1,109.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $867.92 / $867.92 / $7,213.88	Facility		$867.92	$867.92	$7,213.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $408.23 / $1,385.44 / $3,154.62	Professional		$408.23	$1,385.44	$3,154.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $594.30 / $594.30 / $1,093.08	Professional		$594.30	$594.30	$1,093.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $766.34 / $1,192.94 / $2,146.52	Professional		$766.34	$1,192.94	$2,146.52
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 $368.71 / $681.00 / $1,516.15	Professional		$368.71	$681.00	$1,516.15