Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.24 / $289.77 / $14,482.00	Facility		$125.24	$289.77	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.19 / $132.94 / $592.00	Professional		$122.19	$132.94	$592.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.26 / $263.17 / $805.91	Professional		$125.26	$263.17	$805.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,942.50 / $1,942.50 / $1,942.50	Facility		$1,942.50	$1,942.50	$1,942.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.81 / $385.41 / $591.23	Facility		$329.81	$385.41	$591.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.04 / $527.40 / $599.30	Professional		$221.04	$527.40	$599.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $125.24 / $172.70 / $284.39	Facility		$125.24	$172.70	$284.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.79 / $252.41 / $5,261.00	Facility		$128.79	$252.41	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $271.89 / $1,461.62	Professional		$137.22	$271.89	$1,461.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.81 / $172.95 / $366.69	Professional		$85.81	$172.95	$366.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $125.24 / $172.70 / $284.39	Facility		$125.24	$172.70	$284.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $288.89 / $362.74 / $528.22	Professional		$288.89	$362.74	$528.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $4,754.80	Facility		$1,722.47	$1,722.47	$4,754.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $237.41 / $619.25 / $1,461.62	Professional		$237.41	$619.25	$1,461.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $411.29 / $411.29 / $411.29	Professional		$411.29	$411.29	$411.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $284.22 / $730.13 / $807.58	Professional		$284.22	$730.13	$807.58
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 $136.24 / $261.64 / $547.62	Professional		$136.24	$261.64	$547.62