Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.95 / $979.20 / $14,482.00	Facility		$461.95	$979.20	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.98 / $476.15 / $1,849.60	Professional		$394.98	$476.15	$1,849.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.59 / $923.90 / $2,824.02	Professional		$441.59	$923.90	$2,824.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,243.55 / $1,453.18 / $2,229.21	Facility		$1,243.55	$1,453.18	$2,229.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $696.49 / $1,998.61 / $2,373.88	Professional		$696.49	$1,998.61	$2,373.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $461.95 / $652.79 / $979.33	Facility		$461.95	$652.79	$979.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $461.95 / $911.43 / $5,639.00	Facility		$461.95	$911.43	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $495.28 / $924.90 / $4,709.89	Professional		$495.28	$924.90	$4,709.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $287.31 / $904.86	Professional		$61.81	$287.31	$904.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $461.95 / $646.73 / $979.33	Facility		$461.95	$646.73	$979.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $946.40 / $1,153.15 / $1,721.43	Professional		$946.40	$1,153.15	$1,721.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $886.61 / $2,222.25 / $4,709.89	Professional		$886.61	$2,222.25	$4,709.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,519.68 / $1,519.68 / $1,519.68	Professional		$1,519.68	$1,519.68	$1,519.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,136.88 / $2,323.76 / $3,015.86	Professional		$1,136.88	$2,323.76	$3,015.86
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 $477.57 / $885.02 / $2,022.25	Professional		$477.57	$885.02	$2,022.25