Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.78 / $757.64 / $3,377.28	Facility		$355.78	$757.64	$3,377.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.78 / $405.00 / $1,554.55	Professional		$355.78	$405.00	$1,554.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,471.00	Facility		$1,314.00	$2,550.00	$4,471.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.57 / $803.97 / $2,155.78	Professional		$370.57	$803.97	$2,155.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $334.36 / $334.36 / $334.36	Facility		$334.36	$334.36	$334.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,084.05 / $1,266.80 / $1,943.30	Facility		$1,084.05	$1,266.80	$1,943.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.51 / $1,126.05 / $1,981.58	Professional		$462.51	$1,126.05	$1,981.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $326.70 / $451.62 / $846.79	Facility		$326.70	$451.62	$846.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $329.32 / $541.55 / $1,449.00	Facility		$329.32	$541.55	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $408.99 / $849.52 / $3,029.60	Professional		$408.99	$849.52	$3,029.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $255.82 / $821.10	Professional		$52.59	$255.82	$821.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $326.70 / $451.62 / $846.79	Facility		$326.70	$451.62	$846.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $799.56 / $986.83 / $1,473.15	Professional		$799.56	$986.83	$1,473.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $292.86 / $292.86 / $1,727.76	Facility		$292.86	$292.86	$1,727.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $732.92 / $1,727.55 / $3,029.60	Professional		$732.92	$1,727.55	$3,029.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,114.80 / $2,336.50 / $2,611.76	Professional		$1,114.80	$2,336.50	$2,611.76
United Facility/Professional Facility Modifier Low / Median / High Price $785.00 / $1,297.00 / $2,202.90	Facility		$785.00	$1,297.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $399.31 / $822.86 / $1,684.09	Professional		$399.31	$822.86	$1,684.09