Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.27 / $1,741.95 / $15,512.75	Facility		$569.27	$1,741.95	$15,512.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.50 / $644.69 / $3,229.00	Professional		$306.50	$644.69	$3,229.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $519.01 / $1,120.98 / $2,560.92	Professional		$519.01	$1,120.98	$2,560.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $322.72 / $323.79 / $449.19	Facility		$322.72	$323.79	$449.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $628.40 / $691.24 / $840.63	Professional		$628.40	$691.24	$840.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,832.88 / $2,141.86 / $3,285.67	Facility		$1,832.88	$2,141.86	$3,285.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.47 / $905.25 / $1,776.08	Professional		$387.47	$905.25	$1,776.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $349.95 / $754.08 / $1,868.07	Facility		$349.95	$754.08	$1,868.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $378.31 / $968.16 / $1,876.77	Facility		$378.31	$968.16	$1,876.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $673.93 / $1,287.54 / $3,246.76	Professional		$673.93	$1,287.54	$3,246.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $407.34 / $667.21 / $1,532.75	Professional		$407.34	$667.21	$1,532.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $349.95 / $754.08 / $1,868.07	Facility		$349.95	$754.08	$1,868.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $779.95 / $1,203.74 / $2,211.19	Professional		$779.95	$1,203.74	$2,211.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $683.20 / $913.09 / $2,472.60	Facility		$683.20	$913.09	$2,472.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $451.03 / $1,775.25 / $5,075.35	Professional		$451.03	$1,775.25	$5,075.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $821.95 / $1,505.35 / $2,945.44	Professional		$821.95	$1,505.35	$2,945.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $604.22 / $1,068.75 / $2,531.94	Professional		$604.22	$1,068.75	$2,531.94