Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $961.94 / $1,202.43 / $1,787.61	Facility		$961.94	$1,202.43	$1,787.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.33 / $761.54 / $1,295.75	Professional		$657.33	$761.54	$1,295.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.48 / $2,084.21 / $2,204.46	Facility		$1,723.48	$2,084.21	$2,204.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.64 / $448.57 / $3,206.48	Professional		$320.64	$448.57	$3,206.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $467.17 / $1,959.08 / $2,036.11	Facility		$467.17	$1,959.08	$2,036.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,205.94 / $2,577.82 / $3,954.44	Facility		$2,205.94	$2,577.82	$3,954.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.99 / $1,360.70 / $2,452.96	Professional		$920.99	$1,360.70	$2,452.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $193.51 / $216.79 / $961.94	Facility		$193.51	$216.79	$961.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $193.51 / $657.33 / $3,807.70	Facility		$193.51	$657.33	$3,807.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $271.30 / $480.97 / $1,442.92	Professional		$271.30	$480.97	$1,442.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $400.81 / $2,212.46	Professional		$55.00	$400.81	$2,212.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $193.51 / $216.79 / $961.94	Facility		$193.51	$216.79	$961.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $941.64 / $1,911.28 / $2,680.70	Professional		$941.64	$1,911.28	$2,680.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,603.24 / $1,603.24 / $3,807.70	Facility		$1,603.24	$1,603.24	$3,807.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $161.02 / $217.27 / $271.02	Professional		$161.02	$217.27	$271.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $339.12 / $339.12 / $1,707.08	Professional		$339.12	$339.12	$1,707.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $339.12 / $1,116.96 / $4,376.85	Professional		$339.12	$1,116.96	$4,376.85
United Facility/Professional Professional Modifier Low / Median / High Price $276.30 / $480.97 / $1,442.92	Professional		$276.30	$480.97	$1,442.92