Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.48 / $1,013.10 / $1,506.14	Facility		$810.48	$1,013.10	$1,506.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.32 / $650.00 / $810.48	Professional		$540.32	$650.00	$810.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,452.11 / $1,756.04 / $1,857.35	Facility		$1,452.11	$1,756.04	$1,857.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.16 / $644.62 / $2,892.88	Professional		$270.16	$644.62	$2,892.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $675.40 / $1,003.15 / $1,715.52	Facility		$675.40	$1,003.15	$1,715.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $675.40 / $709.17 / $873.29	Professional		$675.40	$709.17	$873.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,859.01 / $2,172.40 / $3,332.52	Facility		$1,859.01	$2,172.40	$3,332.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.03 / $1,818.72 / $2,066.73	Professional		$776.03	$1,818.72	$2,066.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $520.05 / $810.48 / $2,363.90	Facility		$520.05	$810.48	$2,363.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $607.86 / $810.48 / $2,363.90	Facility		$607.86	$810.48	$2,363.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $322.63 / $405.24 / $2,082.83	Professional		$322.63	$405.24	$2,082.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $337.70	Professional		$50.00	$70.00	$337.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $520.05 / $810.48 / $2,363.90	Facility		$520.05	$810.48	$2,363.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,234.15 / $1,647.01 / $2,258.80	Professional		$1,234.15	$1,647.01	$2,258.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,350.80 / $3,208.15 / $3,208.15	Facility		$1,350.80	$3,208.15	$3,208.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $979.33 / $3,377.00 / $3,377.00	Professional		$979.33	$3,377.00	$3,377.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $487.34 / $487.34 / $1,438.29	Professional		$487.34	$487.34	$1,438.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $487.34 / $487.34 / $3,687.68	Professional		$487.34	$487.34	$3,687.68
United Facility/Professional Professional Modifier Low / Median / High Price $293.60 / $405.24 / $1,357.10	Professional		$293.60	$405.24	$1,357.10