Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.21 / $744.44 / $3,119.00	Facility		$348.21	$744.44	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.02 / $568.79 / $1,822.73	Professional		$322.02	$568.79	$1,822.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.12 / $803.56 / $2,035.02	Professional		$441.12	$803.56	$2,035.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,942.50 / $1,942.50 / $1,942.50	Facility		$1,942.50	$1,942.50	$1,942.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,588.67 / $1,856.49 / $2,847.91	Facility		$1,588.67	$1,856.49	$2,847.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $586.10 / $1,358.29 / $2,704.75	Professional		$586.10	$1,358.29	$2,704.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $342.68 / $583.58 / $1,211.81	Facility		$342.68	$583.58	$1,211.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $348.21 / $669.65 / $6,669.00	Facility		$348.21	$669.65	$6,669.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $566.27 / $1,270.98 / $4,355.92	Professional		$566.27	$1,270.98	$4,355.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.59 / $339.80 / $1,119.85	Professional		$52.59	$339.80	$1,119.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $342.89 / $583.58 / $1,211.81	Facility		$342.89	$583.58	$1,211.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $838.97 / $1,300.53 / $1,990.96	Professional		$838.97	$1,300.53	$1,990.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,694.40 / $1,694.40 / $2,316.91	Facility		$1,694.40	$1,694.40	$2,316.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $751.10 / $2,505.56 / $4,355.92	Professional		$751.10	$2,505.56	$4,355.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,139.50 / $1,139.50 / $1,935.77	Professional		$1,139.50	$1,139.50	$1,935.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,397.18 / $2,290.37 / $3,787.89	Professional		$1,397.18	$2,290.37	$3,787.89
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 $576.38 / $1,131.47 / $2,710.46	Professional		$576.38	$1,131.47	$2,710.46