Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.28 / $220.28 / $220.28	Professional		$220.28	$220.28	$220.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $63.35 / $1,101.40	Professional		$63.35	$63.35	$1,101.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $418.85 / $418.85 / $418.85	Facility		$418.85	$418.85	$418.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $757.84 / $885.60 / $1,358.53	Facility		$757.84	$885.60	$1,358.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.85 / $741.47 / $842.58	Professional		$325.85	$741.47	$842.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $212.02 / $330.42 / $963.73	Facility		$212.02	$330.42	$963.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $212.02 / $330.42 / $963.73	Facility		$212.02	$330.42	$963.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.68 / $165.21 / $849.14	Professional		$137.68	$165.21	$849.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $212.02 / $330.42 / $963.73	Facility		$212.02	$330.42	$963.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $459.54 / $656.38 / $920.61	Professional		$459.54	$656.38	$920.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $550.70 / $1,307.91 / $1,307.91	Facility		$550.70	$1,307.91	$1,307.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,101.40 / $1,101.40 / $1,371.24	Professional		$1,101.40	$1,101.40	$1,371.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $586.37 / $586.37 / $586.37	Professional		$586.37	$586.37	$586.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $800.23 / $1,503.41 / $1,503.41	Professional		$800.23	$1,503.41	$1,503.41
United Facility/Professional Professional Modifier Low / Median / High Price $119.69 / $165.21 / $512.54	Professional		$119.69	$165.21	$512.54