Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.95 / $915.32 / $7,228.20	Facility		$429.95	$915.32	$7,228.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.67 / $597.35 / $2,247.83	Professional		$426.67	$597.35	$2,247.83
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 $544.66 / $992.18 / $2,815.22	Professional		$544.66	$992.18	$2,815.22
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 $1,620.21 / $1,893.35 / $2,904.44	Facility		$1,620.21	$1,893.35	$2,904.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.22 / $1,554.61 / $2,783.74	Professional		$656.22	$1,554.61	$2,783.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $429.95 / $644.92 / $1,246.16	Facility		$429.95	$644.92	$1,246.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $441.23 / $737.48 / $7,160.00	Facility		$441.23	$737.48	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $634.09 / $1,346.29 / $4,504.56	Professional		$634.09	$1,346.29	$4,504.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $346.14 / $1,150.15	Professional		$61.84	$346.14	$1,150.15
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $429.95 / $644.92 / $1,246.16	Facility		$429.95	$644.92	$1,246.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $974.16 / $1,391.43 / $2,028.06	Professional		$974.16	$1,391.43	$2,028.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,070.08 / $2,070.08 / $3,244.77	Facility		$2,070.08	$2,070.08	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $927.39 / $2,578.73 / $4,504.56	Professional		$927.39	$2,578.73	$4,504.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,364.03 / $2,827.95 / $3,898.55	Professional		$1,364.03	$2,827.95	$3,898.55
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 $590.52 / $1,140.17 / $2,671.75	Professional		$590.52	$1,140.17	$2,671.75