Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.74 / $1,021.84 / $1,203.61	Facility		$539.74	$1,021.84	$1,203.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.25 / $545.14 / $726.83	Professional		$529.25	$545.14	$726.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $661.58 / $979.13 / $1,180.25	Facility		$661.58	$979.13	$1,180.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $672.16	Professional		$529.26	$529.26	$672.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $724.60 / $724.60 / $846.82	Facility		$724.60	$724.60	$846.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.26 / $1,297.54 / $1,854.75	Facility		$529.26	$1,297.54	$1,854.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.63 / $775.57 / $881.33	Professional		$548.63	$775.57	$881.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $479.38 / $524.02 / $1,166.20	Facility		$479.38	$524.02	$1,166.20
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $786.03 / $1,058.52 / $1,058.52	Professional		$786.03	$1,058.52	$1,058.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $479.38 / $524.02 / $1,154.79	Facility		$479.38	$524.02	$1,154.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.02 / $524.02 / $1,058.52	Professional		$524.02	$524.02	$1,058.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $524.02 / $1,313.89	Professional		$65.00	$524.02	$1,313.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $479.38 / $524.02 / $1,166.20	Facility		$479.38	$524.02	$1,166.20
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $786.03 / $1,058.52 / $1,058.52	Professional		$786.03	$1,058.52	$1,058.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $831.56 / $1,627.00	Professional		$529.26	$831.56	$1,627.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,095.00 / $6,095.00 / $6,095.00	Facility		$6,095.00	$6,095.00	$6,095.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Professional		$529.26	$529.26	$529.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $554.16 / $743.08 / $782.73	Professional		$554.16	$743.08	$782.73
United Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $793.89	Professional		$529.26	$529.26	$793.89