Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.12 / $462.13 / $6,461.00	Facility		$195.12	$462.13	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.12 / $308.62 / $1,052.97	Professional		$195.12	$308.62	$1,052.97
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 $247.18 / $450.29 / $1,281.60	Professional		$247.18	$450.29	$1,281.60
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 $948.88 / $1,108.83 / $1,700.99	Facility		$948.88	$1,108.83	$1,700.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.89 / $837.40 / $1,623.03	Professional		$360.89	$837.40	$1,623.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $205.39 / $324.88 / $654.27	Facility		$205.39	$324.88	$654.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $221.06 / $399.36 / $7,160.00	Facility		$221.06	$399.36	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $326.43 / $682.61 / $2,626.88	Professional		$326.43	$682.61	$2,626.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $290.03 / $762.42	Professional		$31.53	$290.03	$762.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $205.39 / $324.88 / $654.27	Facility		$205.39	$324.88	$654.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $525.50 / $784.00 / $1,208.52	Professional		$525.50	$784.00	$1,208.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,056.56 / $1,056.56 / $3,244.77	Facility		$1,056.56	$1,056.56	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $445.83 / $1,503.50 / $2,626.88	Professional		$445.83	$1,503.50	$2,626.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $646.32 / $646.32 / $1,029.93	Professional		$646.32	$646.32	$1,029.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $914.19 / $1,421.31 / $2,273.01	Professional		$914.19	$1,421.31	$2,273.01
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,754.00 / $8,384.00	Facility		$4,918.00	$6,754.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $329.12 / $666.01 / $1,334.87	Professional		$329.12	$666.01	$1,334.87