Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.24 / $6,082.31 / $7,807.68	Facility		$367.24	$6,082.31	$7,807.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.40 / $792.33 / $2,478.60	Professional		$248.40	$792.33	$2,478.60
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 $364.53 / $766.41 / $1,680.15	Professional		$364.53	$766.41	$1,680.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $217.26 / $324.06 / $324.06	Facility		$217.26	$324.06	$324.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $316.45 / $450.36 / $696.10	Professional		$316.45	$450.36	$696.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $898.42 / $1,049.86 / $1,693.40	Facility		$898.42	$1,049.86	$1,693.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.97 / $728.53 / $1,207.94	Professional		$372.97	$728.53	$1,207.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $237.27 / $367.74 / $658.87	Facility		$237.27	$367.74	$658.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $240.99 / $658.87 / $8,384.00	Facility		$240.99	$658.87	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $433.03 / $1,224.40 / $2,041.62	Professional		$433.03	$1,224.40	$2,041.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $248.88 / $664.74	Professional		$30.95	$248.88	$664.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $237.27 / $367.24 / $658.87	Facility		$237.27	$367.24	$658.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $533.13 / $770.77 / $1,183.48	Professional		$533.13	$770.77	$1,183.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,084.59 / $1,084.59 / $1,084.59	Facility		$1,084.59	$1,084.59	$1,084.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $323.70 / $1,430.64 / $3,041.38	Professional		$323.70	$1,430.64	$3,041.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $625.19 / $625.19 / $937.15	Professional		$625.19	$625.19	$937.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $767.39 / $1,124.63 / $1,645.71	Professional		$767.39	$1,124.63	$1,645.71
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 $410.78 / $1,107.04 / $1,684.33	Professional		$410.78	$1,107.04	$1,684.33