Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.21 / $856.13 / $3,119.00	Facility		$401.21	$856.13	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.95 / $448.42 / $1,617.13	Professional		$336.95	$448.42	$1,617.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $3,163.00 / $5,768.00	Facility		$1,314.00	$3,163.00	$5,768.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.37 / $864.92 / $2,048.78	Professional		$380.37	$864.92	$2,048.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $319.44 / $319.44 / $319.44	Facility		$319.44	$319.44	$319.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,218.31 / $1,423.70 / $2,183.98	Facility		$1,218.31	$1,423.70	$2,183.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.91 / $1,354.70 / $2,100.25	Professional		$552.91	$1,354.70	$2,100.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $392.50 / $509.72 / $951.01	Facility		$392.50	$509.72	$951.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $392.50 / $600.77 / $1,449.00	Facility		$392.50	$600.77	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.78 / $860.91 / $3,421.84	Professional		$426.78	$860.91	$3,421.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $276.50 / $914.37	Professional		$52.59	$276.50	$914.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $392.50 / $509.72 / $951.01	Facility		$392.50	$509.72	$951.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $849.00 / $1,120.68 / $1,541.13	Professional		$849.00	$1,120.68	$1,541.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $264.92 / $264.92 / $1,952.48	Facility		$264.92	$264.92	$1,952.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $756.61 / $1,945.58 / $3,421.84	Professional		$756.61	$1,945.58	$3,421.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,152.16 / $1,152.16 / $1,280.77	Professional		$1,152.16	$1,152.16	$1,280.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,158.92 / $2,629.26 / $2,941.31	Professional		$1,158.92	$2,629.26	$2,941.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $424.74 / $794.58 / $1,799.79	Professional		$424.74	$794.58	$1,799.79