Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.54 / $896.73 / $1,569.48	Facility		$482.54	$896.73	$1,569.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.63 / $482.54 / $1,946.50	Professional		$309.63	$482.54	$1,946.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $864.56 / $1,045.51 / $1,105.83	Facility		$864.56	$1,045.51	$1,105.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.58 / $402.12 / $1,729.12	Professional		$198.58	$402.12	$1,729.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,091.94 / $1,091.94 / $1,134.86	Facility		$1,091.94	$1,091.94	$1,134.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,106.58 / $1,293.11 / $1,983.68	Facility		$1,106.58	$1,293.11	$1,983.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.15 / $1,082.83 / $1,230.49	Professional		$462.15	$1,082.83	$1,230.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $309.63 / $482.54 / $1,407.42	Facility		$309.63	$482.54	$1,407.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $361.91 / $482.54 / $1,407.42	Facility		$361.91	$482.54	$1,407.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $233.23 / $329.16 / $1,447.63	Professional		$233.23	$329.16	$1,447.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $402.12	Professional		$50.00	$70.00	$402.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $309.63 / $482.54 / $1,407.42	Facility		$309.63	$482.54	$1,407.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $807.95 / $1,047.97 / $1,367.30	Professional		$807.95	$1,047.97	$1,367.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $869.73 / $1,910.07 / $1,910.07	Facility		$869.73	$1,910.07	$1,910.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $583.07 / $2,010.60 / $2,010.60	Professional		$583.07	$2,010.60	$2,010.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $413.71 / $413.71 / $856.33	Professional		$413.71	$413.71	$856.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $413.71 / $413.71 / $2,195.58	Professional		$413.71	$413.71	$2,195.58
United Facility/Professional Facility Modifier Low / Median / High Price $402.12 / $402.12 / $402.12	Facility		$402.12	$402.12	$402.12
United Facility/Professional Professional Modifier Low / Median / High Price $230.41 / $321.70 / $972.05	Professional		$230.41	$321.70	$972.05