Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.79 / $2,798.36 / $12,435.92	Facility		$402.79	$2,798.36	$12,435.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.80 / $585.14 / $2,180.29	Professional		$380.80	$585.14	$2,180.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $396.08 / $929.52 / $2,403.80	Professional		$396.08	$929.52	$2,403.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,073.23 / $1,254.16 / $1,923.91	Facility		$1,073.23	$1,254.16	$1,923.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.35 / $1,648.15 / $1,872.90	Professional		$625.35	$1,648.15	$1,872.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $402.79 / $554.51 / $890.17	Facility		$402.79	$554.51	$890.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $402.79 / $846.25 / $8,103.00	Facility		$402.79	$846.25	$8,103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $464.18 / $796.52 / $3,090.16	Professional		$464.18	$796.52	$3,090.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $306.42 / $829.85	Professional		$62.75	$306.42	$829.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $402.79 / $554.51 / $890.17	Facility		$402.79	$554.51	$890.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $836.55 / $1,019.30 / $1,521.62	Professional		$836.55	$1,019.30	$1,521.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $6,817.20	Facility		$2,469.60	$2,469.60	$6,817.20
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $646.16 / $646.16 / $646.16	Facility	AS	$646.16	$646.16	$646.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $747.97 / $1,978.80 / $3,090.16	Professional		$747.97	$1,978.80	$3,090.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $909.50 / $2,042.30 / $2,622.96	Professional		$909.50	$2,042.30	$2,622.96
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $453.77 / $814.46 / $1,800.71	Professional		$453.77	$814.46	$1,800.71