Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.21 / $525.05 / $6,461.00	Facility		$246.21	$525.05	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.45 / $377.23 / $1,317.66	Professional		$233.45	$377.23	$1,317.66
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 $311.89 / $568.17 / $1,607.36	Professional		$311.89	$568.17	$1,607.36
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 $1,050.71 / $1,227.83 / $1,883.53	Facility		$1,050.71	$1,227.83	$1,883.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.43 / $974.93 / $1,803.64	Professional		$444.43	$974.93	$1,803.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $246.21 / $397.33 / $803.05	Facility		$246.21	$397.33	$803.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $254.25 / $492.35 / $7,160.00	Facility		$254.25	$492.35	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $409.52 / $870.10 / $2,915.28	Professional		$409.52	$870.10	$2,915.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $235.64 / $754.06	Professional		$52.59	$235.64	$754.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $246.21 / $397.33 / $803.05	Facility		$246.21	$397.33	$803.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $581.94 / $867.45 / $1,307.44	Professional		$581.94	$867.45	$1,307.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,191.92 / $1,191.92 / $3,244.77	Facility		$1,191.92	$1,191.92	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $533.41 / $1,670.81 / $2,915.28	Professional		$533.41	$1,670.81	$2,915.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $782.46 / $1,626.57 / $2,525.92	Professional		$782.46	$1,626.57	$2,525.92
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 $408.53 / $779.15 / $1,759.53	Professional		$408.53	$779.15	$1,759.53