Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.83 / $788.63 / $9,585.60	Facility		$258.83	$788.63	$9,585.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.35 / $381.37 / $1,224.83	Professional		$246.35	$381.37	$1,224.83
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 $327.88 / $597.29 / $1,523.36	Professional		$327.88	$597.29	$1,523.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,507.48 / $1,507.48 / $1,507.48	Facility		$1,507.48	$1,507.48	$1,507.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,029.08 / $1,202.56 / $1,844.76	Facility		$1,029.08	$1,202.56	$1,844.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.81 / $962.51 / $1,769.24	Professional		$426.81	$962.51	$1,769.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $258.83 / $394.95 / $788.63	Facility		$258.83	$394.95	$788.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $265.97 / $495.27 / $4,292.39	Facility		$265.97	$495.27	$4,292.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.76 / $856.68 / $2,862.88	Professional		$398.76	$856.68	$2,862.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $216.29 / $710.88	Professional		$38.65	$216.29	$710.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $258.83 / $394.95 / $788.63	Facility		$258.83	$394.95	$788.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $606.27 / $870.16 / $1,281.58	Professional		$606.27	$870.16	$1,281.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,240.76 / $1,240.76 / $1,455.33	Facility		$1,240.76	$1,240.76	$1,455.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $556.69 / $1,638.95 / $2,862.88	Professional		$556.69	$1,638.95	$2,862.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $817.16 / $1,697.53 / $2,477.73	Professional		$817.16	$1,697.53	$2,477.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,736.00 / $3,827.00 / $5,865.00	Facility		$1,736.00	$3,827.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $408.90 / $766.28 / $1,740.99	Professional		$408.90	$766.28	$1,740.99