Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.52 / $515.39 / $1,894.00	Facility		$239.52	$515.39	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.85 / $374.78 / $1,334.69	Professional		$237.85	$374.78	$1,334.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.42 / $551.87 / $1,436.27	Professional		$303.42	$551.87	$1,436.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $694.97 / $694.97 / $694.97	Facility		$694.97	$694.97	$694.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,024.57 / $1,197.30 / $1,836.68	Facility		$1,024.57	$1,197.30	$1,836.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.85 / $968.21 / $1,729.80	Professional		$400.85	$968.21	$1,729.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $239.52 / $414.38 / $828.26	Facility		$239.52	$414.38	$828.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.56 / $507.78 / $4,377.80	Facility		$245.56	$507.78	$4,377.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $409.93 / $820.20 / $2,837.60	Professional		$409.93	$820.20	$2,837.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $228.25 / $732.51	Professional		$52.59	$228.25	$732.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $239.52 / $390.33 / $828.26	Facility		$239.52	$390.33	$828.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $570.50 / $884.36 / $1,379.39	Professional		$570.50	$884.36	$1,379.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $562.28 / $562.28 / $1,693.86	Facility		$562.28	$562.28	$1,693.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $517.10 / $1,627.02 / $2,837.60	Professional		$517.10	$1,627.02	$2,837.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $807.70 / $807.70 / $1,246.08	Professional		$807.70	$807.70	$1,246.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,056.97 / $1,540.88 / $2,459.73	Professional		$1,056.97	$1,540.88	$2,459.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $402.95 / $723.67 / $1,706.78	Professional		$402.95	$723.67	$1,706.78