Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $500.14 / $725.76 / $1,935.15	Facility		$500.14	$725.76	$1,935.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.92 / $500.14 / $929.42	Professional		$320.92	$500.14	$929.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $896.08 / $1,083.63 / $1,146.15	Facility		$896.08	$1,083.63	$1,146.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.82 / $416.78 / $1,792.15	Professional		$205.82	$416.78	$1,792.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,131.75 / $1,131.75 / $1,176.25	Facility		$1,131.75	$1,131.75	$1,176.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,147.13 / $1,340.51 / $2,056.37	Facility		$1,147.13	$1,340.51	$2,056.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.67 / $1,122.31 / $1,275.34	Professional		$478.67	$1,122.31	$1,275.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $320.92 / $500.14 / $1,458.73	Facility		$320.92	$500.14	$1,458.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $375.10 / $540.38 / $1,458.73	Facility		$375.10	$540.38	$1,458.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $240.12 / $343.03 / $1,500.41	Professional		$240.12	$343.03	$1,500.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $208.39	Professional		$50.00	$70.00	$208.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $320.92 / $500.14 / $1,458.73	Facility		$320.92	$500.14	$1,458.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $837.20 / $1,087.20 / $1,416.80	Professional		$837.20	$1,087.20	$1,416.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $833.56 / $1,979.71 / $1,979.71	Facility		$833.56	$1,979.71	$1,979.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $529.15 / $2,083.90 / $2,083.90	Professional		$529.15	$2,083.90	$2,083.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $428.79 / $428.79 / $887.55	Professional		$428.79	$428.79	$887.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $428.79 / $1,211.16 / $2,275.62	Professional		$428.79	$1,211.16	$2,275.62
United Facility/Professional Professional Modifier Low / Median / High Price $208.39 / $333.42 / $1,013.01	Professional		$208.39	$333.42	$1,013.01