Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.44 / $1,279.83 / $2,706.30	Facility		$238.44	$1,279.83	$2,706.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.11 / $350.42 / $925.20	Professional		$239.11	$350.42	$925.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $551.00 / $551.00	Facility		$500.00	$551.00	$551.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.53 / $516.30 / $1,481.34	Professional		$226.53	$516.30	$1,481.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $197.22 / $207.08 / $276.11	Facility		$197.22	$207.08	$276.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $267.62 / $267.62 / $267.62	Professional		$267.62	$267.62	$267.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.37 / $720.27 / $1,104.92	Facility		$616.37	$720.27	$1,104.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.37 / $1,217.57 / $1,383.60	Professional		$320.37	$1,217.57	$1,383.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $103.61 / $308.08 / $442.68	Facility		$103.61	$308.08	$442.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.61 / $336.48 / $1,471.12	Facility		$103.61	$336.48	$1,471.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.30 / $571.15 / $1,543.86	Professional		$213.30	$571.15	$1,543.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $690.43	Professional		$50.00	$70.00	$690.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $103.61 / $277.81 / $442.68	Facility		$103.61	$277.81	$442.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $434.85 / $529.85 / $775.32	Professional		$434.85	$529.85	$775.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,165.12 / $2,165.12 / $2,165.12	Facility		$2,165.12	$2,165.12	$2,165.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $339.56 / $1,250.65 / $1,543.86	Professional		$339.56	$1,250.65	$1,543.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,429.74 / $1,429.74 / $1,429.74	Professional		$1,429.74	$1,429.74	$1,429.74
United Facility/Professional Professional Modifier Low / Median / High Price $213.30 / $500.26 / $1,146.66	Professional		$213.30	$500.26	$1,146.66