Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.63 / $885.83 / $10,843.72	Facility		$298.63	$885.83	$10,843.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.63 / $436.59 / $1,691.00	Professional		$298.63	$436.59	$1,691.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.31 / $689.15 / $1,839.39	Professional		$378.31	$689.15	$1,839.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,507.48 / $1,507.48 / $1,507.48	Facility		$1,507.48	$1,507.48	$1,507.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,149.83 / $1,343.67 / $2,061.21	Facility		$1,149.83	$1,343.67	$2,061.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.62 / $1,138.29 / $1,972.81	Professional		$473.62	$1,138.29	$1,972.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $298.63 / $447.95 / $885.83	Facility		$298.63	$447.95	$885.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $298.63 / $519.99 / $4,377.80	Facility		$298.63	$519.99	$4,377.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $458.44 / $940.23 / $3,209.36	Professional		$458.44	$940.23	$3,209.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $266.85 / $843.35	Professional		$52.59	$266.85	$843.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $298.63 / $447.95 / $885.83	Facility		$298.63	$447.95	$885.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $705.78 / $1,008.09 / $1,469.33	Professional		$705.78	$1,008.09	$1,469.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,455.33 / $1,455.33 / $2,175.36	Facility		$1,455.33	$1,455.33	$2,175.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $638.79 / $1,830.33 / $3,209.36	Professional		$638.79	$1,830.33	$3,209.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $941.22 / $1,947.89 / $2,767.09	Professional		$941.22	$1,947.89	$2,767.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $442.82 / $794.72 / $1,829.17	Professional		$442.82	$794.72	$1,829.17