Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.58 / $632.86 / $14,482.00	Facility		$168.58	$632.86	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.58 / $414.90 / $1,905.99	Professional		$168.58	$414.90	$1,905.99
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 $251.24 / $515.61 / $1,487.32	Professional		$251.24	$515.61	$1,487.32
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 $774.06 / $904.55 / $1,387.61	Facility		$774.06	$904.55	$1,387.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.63 / $689.27 / $1,337.29	Professional		$315.63	$689.27	$1,337.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $170.94 / $339.31 / $736.95	Facility		$170.94	$339.31	$736.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $189.38 / $433.16 / $7,160.00	Facility		$189.38	$433.16	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $549.67 / $1,168.02 / $3,071.98	Professional		$549.67	$1,168.02	$3,071.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $154.35 / $436.21 / $687.09	Professional		$154.35	$436.21	$687.09
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $170.94 / $338.70 / $736.95	Facility		$170.94	$338.70	$736.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $396.60 / $630.84 / $1,022.69	Professional		$396.60	$630.84	$1,022.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $966.18 / $966.18 / $3,244.77	Facility		$966.18	$966.18	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $375.37 / $1,792.20 / $3,071.98	Professional		$375.37	$1,792.20	$3,071.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $529.16 / $1,217.48 / $1,872.78	Professional		$529.16	$1,217.48	$1,872.78
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 $457.29 / $1,014.31 / $2,378.92	Professional		$457.29	$1,014.31	$2,378.92