Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.41 / $1,262.51 / $10,126.00	Facility		$331.41	$1,262.51	$10,126.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.93 / $472.03 / $2,090.00	Professional		$309.93	$472.03	$2,090.00
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 $419.84 / $764.79 / $1,944.13	Professional		$419.84	$764.79	$1,944.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $836.93 / $836.93 / $836.93	Facility		$836.93	$836.93	$836.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,284.09 / $1,500.57 / $2,301.91	Facility		$1,284.09	$1,500.57	$2,301.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.82 / $1,243.71 / $2,208.34	Professional		$551.82	$1,243.71	$2,208.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $331.41 / $528.62 / $991.17	Facility		$331.41	$528.62	$991.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $342.06 / $641.54 / $7,160.00	Facility		$342.06	$641.54	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $504.66 / $1,061.73 / $3,572.40	Professional		$504.66	$1,061.73	$3,572.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $272.11 / $890.73	Professional		$61.84	$272.11	$890.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $331.41 / $528.19 / $991.17	Facility		$331.41	$528.19	$991.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $773.28 / $1,104.50 / $1,609.85	Professional		$773.28	$1,104.50	$1,609.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $587.53 / $587.53 / $1,592.16	Facility		$587.53	$587.53	$1,592.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $715.71 / $2,045.70 / $3,572.40	Professional		$715.71	$2,045.70	$3,572.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,055.66 / $2,182.48 / $3,092.70	Professional		$1,055.66	$2,182.48	$3,092.70
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 $498.04 / $954.68 / $2,264.21	Professional		$498.04	$954.68	$2,264.21