Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.19 / $1,042.96 / $3,119.00	Facility		$490.19	$1,042.96	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.19 / $548.70 / $2,164.78	Professional		$490.19	$548.70	$2,164.78
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 $512.62 / $1,131.20 / $2,859.01	Professional		$512.62	$1,131.20	$2,859.01
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 $1,461.62 / $1,708.01 / $2,620.14	Facility		$1,461.62	$1,708.01	$2,620.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $669.18 / $1,624.25 / $2,520.59	Professional		$669.18	$1,624.25	$2,520.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $463.54 / $611.23 / $1,142.10	Facility		$463.54	$611.23	$1,142.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $463.54 / $735.29 / $1,513.00	Facility		$463.54	$735.29	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.60 / $1,179.18 / $4,109.04	Professional		$562.60	$1,179.18	$4,109.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $331.22 / $1,106.06	Professional		$61.84	$331.22	$1,106.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $463.54 / $611.23 / $1,142.10	Facility		$463.54	$611.23	$1,142.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,102.40 / $1,343.23 / $1,925.98	Professional		$1,102.40	$1,343.23	$1,925.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $2,384.16	Facility		$1,722.47	$1,722.47	$2,384.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,006.63 / $2,346.19 / $4,109.04	Professional		$1,006.63	$2,346.19	$4,109.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,607.81 / $1,607.81 / $1,766.61	Professional		$1,607.81	$1,607.81	$1,766.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,554.25 / $3,209.23 / $3,530.00	Professional		$1,554.25	$3,209.23	$3,530.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $548.60 / $1,022.57 / $2,337.61	Professional		$548.60	$1,022.57	$2,337.61