Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.16 / $1,164.82 / $3,665.35	Facility		$267.16	$1,164.82	$3,665.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.73 / $553.30 / $2,559.98	Professional		$267.73	$553.30	$2,559.98
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 $465.78 / $1,032.85 / $2,401.09	Professional		$465.78	$1,032.85	$2,401.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $289.61 / $290.48 / $403.47	Facility		$289.61	$290.48	$403.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $590.44 / $649.48 / $788.95	Professional		$590.44	$649.48	$788.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,724.74 / $2,015.50 / $3,091.83	Facility		$1,724.74	$2,015.50	$3,091.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.77 / $802.86 / $1,664.92	Professional		$332.77	$802.86	$1,664.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $314.11 / $708.53 / $1,753.23	Facility		$314.11	$708.53	$1,753.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $339.04 / $871.44 / $1,778.00	Facility		$339.04	$871.44	$1,778.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $591.78 / $1,192.78 / $2,784.08	Professional		$591.78	$1,192.78	$2,784.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $388.54 / $636.80 / $1,460.91	Professional		$388.54	$636.80	$1,460.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $314.11 / $708.53 / $1,753.23	Facility		$314.11	$708.53	$1,753.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $700.74 / $1,120.71 / $2,078.14	Professional		$700.74	$1,120.71	$2,078.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $612.91 / $819.15 / $1,478.96	Facility		$612.91	$819.15	$1,478.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $404.55 / $1,591.75 / $4,767.04	Professional		$404.55	$1,591.75	$4,767.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $737.20 / $1,350.22 / $2,768.56	Professional		$737.20	$1,350.22	$2,768.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $590.44 / $976.07 / $2,503.69	Professional		$590.44	$976.07	$2,503.69