Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.64 / $1,069.74 / $2,098.94	Facility		$502.64	$1,069.74	$2,098.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.64 / $553.53 / $2,304.53	Professional		$502.64	$553.53	$2,304.53
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 $527.87 / $1,159.94 / $2,935.17	Professional		$527.87	$1,159.94	$2,935.17
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 $1,500.36 / $1,753.30 / $2,689.60	Facility		$1,500.36	$1,753.30	$2,689.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $682.72 / $1,668.84 / $2,588.79	Professional		$682.72	$1,668.84	$2,588.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $475.44 / $628.12 / $1,173.48	Facility		$475.44	$628.12	$1,173.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $475.44 / $753.96 / $1,513.00	Facility		$475.44	$753.96	$1,513.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $583.66 / $1,212.67 / $4,220.80	Professional		$583.66	$1,212.67	$4,220.80
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 $475.44 / $628.12 / $1,173.48	Facility		$475.44	$628.12	$1,173.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,134.25 / $1,382.04 / $1,981.62	Professional		$1,134.25	$1,382.04	$1,981.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $2,443.48	Facility		$1,722.47	$1,722.47	$2,443.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,033.85 / $2,410.60 / $4,220.80	Professional		$1,033.85	$2,410.60	$4,220.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,650.62 / $1,650.62 / $1,815.02	Professional		$1,650.62	$1,650.62	$1,815.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,594.15 / $3,289.60 / $3,625.51	Professional		$1,594.15	$3,289.60	$3,625.51
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 $573.46 / $1,056.70 / $2,403.98	Professional		$573.46	$1,056.70	$2,403.98