Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.83 / $945.61 / $14,482.00	Facility		$444.83	$945.61	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.49 / $459.94 / $2,066.25	Professional		$420.49	$459.94	$2,066.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.67 / $1,026.52 / $2,716.27	Professional		$432.67	$1,026.52	$2,716.27
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 $1,191.28 / $1,392.11 / $2,135.53	Facility		$1,191.28	$1,392.11	$2,135.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $675.42 / $1,816.42 / $2,064.11	Professional		$675.42	$1,816.42	$2,064.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $444.83 / $642.01 / $1,050.68	Facility		$444.83	$642.01	$1,050.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $444.83 / $935.31 / $11,100.00	Facility		$444.83	$935.31	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $486.93 / $946.67 / $3,424.45	Professional		$486.93	$946.67	$3,424.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $273.93 / $878.83	Professional		$61.81	$273.93	$878.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $444.83 / $642.01 / $1,050.68	Facility		$444.83	$642.01	$1,050.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $915.20 / $1,115.14 / $1,664.68	Professional		$915.20	$1,115.14	$1,664.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $849.82 / $2,161.35 / $3,424.45	Professional		$849.82	$2,161.35	$3,424.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,461.70 / $1,461.70 / $1,461.70	Professional		$1,461.70	$1,461.70	$1,461.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,309.69 / $2,245.11 / $2,890.68	Professional		$1,309.69	$2,245.11	$2,890.68
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.37 / $867.94 / $1,979.80	Professional		$477.37	$867.94	$1,979.80