Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.51 / $1,288.56 / $14,522.54	Facility		$508.51	$1,288.56	$14,522.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.41 / $531.79 / $2,712.16	Professional		$470.41	$531.79	$2,712.16
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 $492.40 / $1,173.48 / $3,117.02	Professional		$492.40	$1,173.48	$3,117.02
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 $1,366.10 / $1,596.39 / $2,448.91	Facility		$1,366.10	$1,596.39	$2,448.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.66 / $2,197.62 / $2,611.19	Professional		$763.66	$2,197.62	$2,611.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $508.51 / $719.12 / $1,078.67	Facility		$508.51	$719.12	$1,078.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $508.51 / $1,022.26 / $5,261.00	Facility		$508.51	$1,022.26	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $552.46 / $1,033.91 / $5,205.68	Professional		$552.46	$1,033.91	$5,205.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $294.30 / $965.52	Professional		$61.84	$294.30	$965.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $508.51 / $711.91 / $1,078.67	Facility		$508.51	$711.91	$1,078.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,040.00 / $1,267.20 / $1,891.68	Professional		$1,040.00	$1,267.20	$1,891.68
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 $975.25 / $2,463.50 / $5,205.68	Professional		$975.25	$2,463.50	$5,205.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,278.99 / $2,584.61 / $3,317.33	Professional		$1,278.99	$2,584.61	$3,317.33
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 $551.25 / $984.48 / $2,167.88	Professional		$551.25	$984.48	$2,167.88