Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.99 / $689.22 / $14,482.00	Facility		$329.99	$689.22	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.99 / $539.57 / $1,731.80	Professional		$329.99	$539.57	$1,731.80
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 $336.69 / $761.52 / $2,305.61	Professional		$336.69	$761.52	$2,305.61
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 $865.08 / $1,010.91 / $1,550.76	Facility		$865.08	$1,010.91	$1,550.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.40 / $1,339.00 / $1,521.59	Professional		$545.40	$1,339.00	$1,521.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $329.99 / $475.62 / $783.36	Facility		$329.99	$475.62	$783.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $334.96 / $671.94 / $7,891.00	Facility		$334.96	$671.94	$7,891.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $434.17 / $952.05 / $3,327.23	Professional		$434.17	$952.05	$3,327.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $189.53 / $353.61 / $803.66	Professional		$189.53	$353.61	$803.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $329.99 / $475.62 / $783.36	Facility		$329.99	$475.62	$783.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $668.20 / $814.18 / $1,215.40	Professional		$668.20	$814.18	$1,215.40
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 $668.44 / $2,549.10 / $3,327.23	Professional		$668.44	$2,549.10	$3,327.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $667.92 / $2,130.96 / $2,130.96	Professional		$667.92	$2,130.96	$2,130.96
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 $399.42 / $868.35 / $1,691.29	Professional		$399.42	$868.35	$1,691.29