Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.55 / $607.07 / $14,482.00	Facility		$173.55	$607.07	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.55 / $387.96 / $2,003.49	Professional		$173.55	$387.96	$2,003.49
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 $258.64 / $536.13 / $1,580.99	Professional		$258.64	$536.13	$1,580.99
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 $785.78 / $918.24 / $1,408.61	Facility		$785.78	$918.24	$1,408.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.11 / $706.72 / $1,358.61	Professional		$328.11	$706.72	$1,358.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $175.31 / $364.01 / $751.60	Facility		$175.31	$364.01	$751.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.14 / $451.23 / $7,160.00	Facility		$194.14	$451.23	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $581.40 / $1,227.86 / $3,229.91	Professional		$581.40	$1,227.86	$3,229.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.57 / $493.95 / $755.64	Professional		$174.57	$493.95	$755.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $175.31 / $353.68 / $751.60	Facility		$175.31	$353.68	$751.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $406.52 / $643.24 / $1,042.79	Professional		$406.52	$643.24	$1,042.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,028.36 / $1,028.36 / $3,244.77	Facility		$1,028.36	$1,028.36	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $384.86 / $1,906.60 / $3,229.91	Professional		$384.86	$1,906.60	$3,229.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $557.07 / $1,295.58 / $1,902.73	Professional		$557.07	$1,295.58	$1,902.73
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 $500.05 / $1,108.28 / $2,499.40	Professional		$500.05	$1,108.28	$2,499.40