Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.38 / $869.22 / $1,292.24	Facility		$695.38	$869.22	$1,292.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.17 / $550.51 / $2,278.62	Professional		$475.17	$550.51	$2,278.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,245.88 / $1,506.65 / $1,593.57	Facility		$1,245.88	$1,506.65	$1,593.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.17 / $353.48 / $2,397.60	Professional		$286.17	$353.48	$2,397.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $386.53 / $1,573.49 / $1,635.35	Facility		$386.53	$1,573.49	$1,635.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,594.98 / $1,863.86 / $2,859.21	Facility		$1,594.98	$1,863.86	$2,859.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.76 / $1,560.43 / $1,773.21	Professional		$665.76	$1,560.43	$1,773.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $515.71 / $515.71 / $695.38	Facility		$515.71	$515.71	$695.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $475.17 / $521.53 / $2,752.53	Facility		$475.17	$521.53	$2,752.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $340.10 / $579.48 / $1,605.16	Professional		$340.10	$579.48	$1,605.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $286.83 / $1,136.31	Professional		$55.00	$286.83	$1,136.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $515.71 / $515.71 / $695.38	Facility		$515.71	$515.71	$695.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $708.22 / $1,418.47 / $2,752.24	Professional		$708.22	$1,418.47	$2,752.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,158.96 / $1,158.96 / $2,752.53	Facility		$1,158.96	$1,158.96	$2,752.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $307.12 / $357.65 / $754.81	Professional		$307.12	$357.65	$754.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $596.29 / $596.29 / $1,234.03	Professional		$596.29	$596.29	$1,234.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $596.29 / $2,310.61 / $3,163.96	Professional		$596.29	$2,310.61	$3,163.96
United Facility/Professional Professional Modifier Low / Median / High Price $289.74 / $473.72 / $1,434.79	Professional		$289.74	$473.72	$1,434.79