Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.50 / $669.58 / $14,482.00	Facility		$314.50	$669.58	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.58 / $329.91 / $1,053.03	Professional		$298.58	$329.91	$1,053.03
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 $300.98 / $629.01 / $1,833.10	Professional		$300.98	$629.01	$1,833.10
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 $851.56 / $995.11 / $1,526.53	Facility		$851.56	$995.11	$1,526.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $465.87 / $1,370.11 / $1,620.05	Professional		$465.87	$1,370.11	$1,620.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $308.19 / $409.50 / $743.98	Facility		$308.19	$409.50	$743.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $314.00 / $615.78 / $5,261.00	Facility		$314.00	$615.78	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $333.82 / $632.58 / $3,608.17	Professional		$333.82	$632.58	$3,608.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.63 / $182.69 / $616.30	Professional		$38.63	$182.69	$616.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $308.19 / $409.50 / $743.98	Facility		$308.19	$409.50	$743.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $641.54 / $781.70 / $1,166.93	Professional		$641.54	$781.70	$1,166.93
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 $605.05 / $1,505.15 / $3,608.17	Professional		$605.05	$1,505.15	$3,608.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $905.56 / $2,058.13 / $2,058.13	Professional		$905.56	$2,058.13	$2,058.13
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 $331.13 / $632.58 / $1,407.76	Professional		$331.13	$632.58	$1,407.76