Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.66 / $1,068.36 / $8,698.40	Facility		$348.66	$1,068.36	$8,698.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.66 / $525.10 / $1,644.46	Professional		$348.66	$525.10	$1,644.46
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 $441.69 / $804.60 / $2,151.67	Professional		$441.69	$804.60	$2,151.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,401.24 / $1,637.46 / $2,511.91	Facility		$1,401.24	$1,637.46	$2,511.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $582.10 / $1,277.15 / $2,406.73	Professional		$582.10	$1,277.15	$2,406.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $351.98 / $569.79 / $1,066.72	Facility		$351.98	$569.79	$1,066.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $365.42 / $712.25 / $7,160.00	Facility		$365.42	$712.25	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $588.52 / $1,203.88 / $3,894.80	Professional		$588.52	$1,203.88	$3,894.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $301.24 / $997.89	Professional		$52.59	$301.24	$997.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $351.98 / $569.79 / $1,066.72	Facility		$351.98	$569.79	$1,066.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $809.88 / $1,184.47 / $1,745.88	Professional		$809.88	$1,184.47	$1,745.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,660.48 / $1,660.48 / $3,244.77	Facility		$1,660.48	$1,660.48	$3,244.77
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $160.77 / $160.77 / $160.77	Facility	AS	$160.77	$160.77	$160.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $767.18 / $2,229.48 / $3,894.80	Professional		$767.18	$2,229.48	$3,894.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,476.37 / $2,258.77 / $3,370.51	Professional		$1,476.37	$2,258.77	$3,370.51
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $554.12 / $1,078.61 / $2,402.30	Professional		$554.12	$1,078.61	$2,402.30