Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.10 / $817.81 / $14,482.00	Facility		$380.10	$817.81	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.74 / $395.53 / $1,766.88	Professional		$370.74	$395.53	$1,766.88
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 $375.25 / $877.16 / $2,305.10	Professional		$375.25	$877.16	$2,305.10
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 $1,032.68 / $1,206.77 / $1,851.22	Facility		$1,032.68	$1,206.77	$1,851.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.39 / $1,526.59 / $1,786.64	Professional		$580.39	$1,526.59	$1,786.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $380.10 / $525.35 / $817.81	Facility		$380.10	$525.35	$817.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.10 / $778.34 / $8,384.00	Facility		$380.10	$778.34	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $402.04 / $825.21 / $3,648.58	Professional		$402.04	$825.21	$3,648.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $250.64 / $804.12	Professional		$38.65	$250.64	$804.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $380.10 / $489.31 / $817.81	Facility		$380.10	$489.31	$817.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $789.75 / $962.28 / $1,436.49	Professional		$789.75	$962.28	$1,436.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $735.58 / $1,848.20 / $3,648.58	Professional		$735.58	$1,848.20	$3,648.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,240.43 / $1,240.43 / $1,240.43	Professional		$1,240.43	$1,240.43	$1,240.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,146.44 / $1,943.41 / $2,502.07	Professional		$1,146.44	$1,943.41	$2,502.07
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 $402.04 / $775.62 / $1,650.52	Professional		$402.04	$775.62	$1,650.52