Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $701.88 / $877.35 / $1,304.33	Facility		$701.88	$877.35	$1,304.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.37 / $555.66 / $1,097.58	Professional		$450.37	$555.66	$1,097.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,257.54 / $1,520.74 / $1,608.48	Facility		$1,257.54	$1,520.74	$1,608.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $584.90 / $2,505.25	Professional		$288.83	$584.90	$2,505.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,588.27 / $1,588.27 / $1,650.72	Facility		$1,588.27	$1,588.27	$1,650.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,609.40 / $1,880.71 / $2,885.06	Facility		$1,609.40	$1,880.71	$2,885.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.95 / $1,575.02 / $1,789.80	Professional		$671.95	$1,575.02	$1,789.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $450.37 / $701.88 / $2,047.15	Facility		$450.37	$701.88	$2,047.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $526.41 / $701.88 / $2,047.15	Facility		$526.41	$701.88	$2,047.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $339.24 / $433.26 / $2,105.64	Professional		$339.24	$433.26	$2,105.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $292.45	Professional		$50.00	$70.00	$292.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $450.37 / $701.88 / $2,047.15	Facility		$450.37	$701.88	$2,047.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,175.20 / $1,426.15 / $1,988.80	Professional		$1,175.20	$1,426.15	$1,988.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,169.80 / $2,778.28 / $2,778.28	Facility		$1,169.80	$2,778.28	$2,778.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $666.34 / $2,924.50 / $2,924.50	Professional		$666.34	$2,924.50	$2,924.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $584.90 / $1,245.57	Professional		$584.90	$584.90	$1,245.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $584.90 / $3,193.55	Professional		$584.90	$584.90	$3,193.55
United Facility/Professional Professional Modifier Low / Median / High Price $303.27 / $433.26 / $1,279.47	Professional		$303.27	$433.26	$1,279.47