Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.01 / $557.08 / $6,461.00	Facility		$262.01	$557.08	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $402.29 / $1,416.36	Professional		$257.41	$402.29	$1,416.36
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 $331.91 / $604.63 / $1,719.83	Professional		$331.91	$604.63	$1,719.83
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 $1,091.26 / $1,275.22 / $1,956.22	Facility		$1,091.26	$1,275.22	$1,956.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.60 / $988.35 / $1,780.96	Professional		$446.60	$988.35	$1,780.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $262.01 / $444.59 / $833.60	Facility		$262.01	$444.59	$833.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $269.89 / $528.99 / $7,160.00	Facility		$269.89	$528.99	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $431.26 / $915.46 / $3,021.36	Professional		$431.26	$915.46	$3,021.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $235.40 / $764.87	Professional		$52.59	$235.40	$764.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $262.01 / $440.57 / $833.60	Facility		$262.01	$440.57	$833.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $613.89 / $914.16 / $1,351.29	Professional		$613.89	$914.16	$1,351.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,257.52 / $1,257.52 / $3,244.77	Facility		$1,257.52	$1,257.52	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $565.14 / $1,733.40 / $3,021.36	Professional		$565.14	$1,733.40	$3,021.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $830.17 / $1,723.33 / $2,620.54	Professional		$830.17	$1,723.33	$2,620.54
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 $430.19 / $801.41 / $1,816.76	Professional		$430.19	$801.41	$1,816.76