Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.71 / $287.48 / $14,482.00	Facility		$136.71	$287.48	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.71 / $199.84 / $574.09	Professional		$136.71	$199.84	$574.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $315.48 / $918.68	Professional		$145.00	$315.48	$918.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $360.45 / $421.21 / $646.15	Facility		$360.45	$421.21	$646.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.53 / $558.46 / $634.61	Professional		$227.53	$558.46	$634.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $136.71 / $205.07 / $355.45	Facility		$136.71	$205.07	$355.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.71 / $294.00 / $7,891.00	Facility		$136.71	$294.00	$7,891.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $178.19 / $368.55 / $1,687.48	Professional		$178.19	$368.55	$1,687.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.65 / $133.42 / $309.30	Professional		$79.65	$133.42	$309.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $136.71 / $205.07 / $355.45	Facility		$136.71	$205.07	$355.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $273.00 / $332.64 / $496.57	Professional		$273.00	$332.64	$496.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $6,817.20	Facility		$2,469.60	$2,469.60	$6,817.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $278.79 / $924.25 / $1,687.48	Professional		$278.79	$924.25	$1,687.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $397.91 / $888.78 / $888.78	Professional		$397.91	$888.78	$888.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.79 / $318.94 / $680.16	Professional		$162.79	$318.94	$680.16