Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.40 / $1,039.56 / $1,039.56	Facility		$446.40	$1,039.56	$1,039.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.94 / $438.20 / $438.20	Professional		$372.94	$438.20	$438.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,002.27 / $1,212.04 / $1,281.97	Facility		$1,002.27	$1,212.04	$1,281.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.68 / $279.68 / $1,928.78	Professional		$279.68	$279.68	$1,928.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $709.25 / $1,139.28 / $1,139.28	Facility		$709.25	$1,139.28	$1,139.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,283.19 / $1,499.51 / $2,300.29	Facility		$1,283.19	$1,499.51	$2,300.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.73 / $1,255.30 / $1,426.48	Professional		$551.73	$1,255.30	$1,426.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $358.95 / $559.40 / $1,631.60	Facility		$358.95	$559.40	$1,631.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $419.55 / $559.40 / $1,631.60	Facility		$419.55	$559.40	$1,631.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $233.09 / $279.70 / $1,437.60	Professional		$233.09	$279.70	$1,437.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $358.95 / $559.40 / $1,631.60	Facility		$358.95	$559.40	$1,631.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $778.14 / $1,111.44 / $1,558.87	Professional		$778.14	$1,111.44	$1,558.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $932.34 / $2,214.31 / $2,214.31	Facility		$932.34	$2,214.31	$2,214.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,864.68 / $2,330.85 / $2,330.85	Professional		$1,864.68	$2,330.85	$2,330.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $992.73 / $992.73 / $992.73	Professional		$992.73	$992.73	$992.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $466.17 / $466.17 / $2,545.29	Professional		$466.17	$466.17	$2,545.29
United Facility/Professional Professional Modifier Low / Median / High Price $202.64 / $279.70 / $978.96	Professional		$202.64	$279.70	$978.96