Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.70 / $1,099.39 / $1,294.96	Facility		$580.70	$1,099.39	$1,294.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $590.15 / $968.59	Professional		$572.96	$590.15	$968.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $716.20 / $1,059.98 / $1,277.70	Facility		$716.20	$1,059.98	$1,277.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $727.65	Professional		$572.96	$572.96	$727.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $784.43 / $784.43 / $916.74	Facility		$784.43	$784.43	$916.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.96 / $1,383.05 / $1,976.98	Facility		$572.96	$1,383.05	$1,976.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.89 / $552.99 / $671.11	Professional		$536.89	$552.99	$671.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $563.79 / $563.79 / $1,262.44	Facility		$563.79	$563.79	$1,262.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $845.69 / $1,145.92 / $1,145.92	Professional		$845.69	$1,145.92	$1,145.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $563.79 / $563.79 / $1,242.46	Facility		$563.79	$563.79	$1,242.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $563.79 / $563.79 / $1,145.92	Professional		$563.79	$563.79	$1,145.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $1,285.73	Professional		$50.00	$65.00	$1,285.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $563.79 / $563.79 / $1,262.44	Facility		$563.79	$563.79	$1,262.44
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $845.69 / $1,145.92 / $1,145.92	Professional		$845.69	$1,145.92	$1,145.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $891.87	Professional		$572.96	$572.96	$891.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $572.96 / $572.96 / $2,634.70	Facility		$572.96	$572.96	$2,634.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $572.96	Professional		$572.96	$572.96	$572.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $804.44 / $804.44 / $804.44	Professional		$804.44	$804.44	$804.44
United Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $859.44	Professional		$572.96	$572.96	$859.44