Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.14 / $667.76 / $6,461.00	Facility		$277.14	$667.76	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.50 / $312.95 / $1,123.84	Professional		$269.50	$312.95	$1,123.84
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 $313.51 / $639.54 / $1,801.19	Professional		$313.51	$639.54	$1,801.19
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 $847.05 / $989.85 / $1,518.45	Facility		$847.05	$989.85	$1,518.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.96 / $960.72 / $1,438.32	Professional		$461.96	$960.72	$1,438.32
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $277.14 / $395.49 / $663.48	Facility		$277.14	$395.49	$663.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $277.14 / $450.29 / $6,955.00	Facility		$277.14	$450.29	$6,955.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $352.54 / $728.47 / $3,066.49	Professional		$352.54	$728.47	$3,066.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $216.65 / $597.40	Professional		$62.75	$216.65	$597.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $277.14 / $390.63 / $663.48	Facility		$277.14	$390.63	$663.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $619.28 / $764.28 / $1,140.43	Professional		$619.28	$764.28	$1,140.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,329.76 / $1,329.76 / $1,722.47	Facility		$1,329.76	$1,329.76	$1,722.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $584.75 / $1,381.20 / $3,066.49	Professional		$584.75	$1,381.20	$3,066.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $884.05 / $1,822.02 / $2,056.06	Professional		$884.05	$1,822.02	$2,056.06
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 $343.71 / $697.84 / $1,370.63	Professional		$343.71	$697.84	$1,370.63