Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.65 / $366.50 / $14,482.00	Facility		$176.65	$366.50	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.53 / $176.65 / $784.88	Professional		$171.53	$176.65	$784.88
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 $156.40 / $407.65 / $1,100.82	Professional		$156.40	$407.65	$1,100.82
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 $469.48 / $548.63 / $841.61	Facility		$469.48	$548.63	$841.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.06 / $706.49 / $817.41	Professional		$285.06	$706.49	$817.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $162.88 / $213.05 / $374.50	Facility		$162.88	$213.05	$374.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $163.72 / $313.91 / $8,103.00	Facility		$163.72	$313.91	$8,103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.04 / $426.92 / $3,532.88	Professional		$197.04	$426.92	$3,532.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.09 / $165.51 / $371.70	Professional		$83.09	$165.51	$371.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $162.88 / $213.05 / $374.50	Facility		$162.88	$213.05	$374.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $343.20 / $418.18 / $624.25	Professional		$343.20	$418.18	$624.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $336.54 / $1,020.06 / $3,532.88	Professional		$336.54	$1,020.06	$3,532.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $590.47 / $590.47	Professional		$590.47	$590.47	$590.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $544.57 / $946.67 / $1,144.74	Professional		$544.57	$946.67	$1,144.74
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.47 / $369.03 / $747.11	Professional		$194.47	$369.03	$747.11