Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.80 / $329.80 / $329.80	Facility		$329.80	$329.80	$329.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.62 / $258.33 / $329.80	Professional		$211.62	$258.33	$329.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.93 / $109.93 / $1,137.11	Professional		$109.93	$109.93	$1,137.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $418.36 / $418.36 / $418.36	Facility		$418.36	$418.36	$418.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $756.04 / $883.49 / $1,355.30	Facility		$756.04	$883.49	$1,355.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.42 / $740.06 / $840.98	Professional		$325.42	$740.06	$840.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $211.62 / $329.80 / $961.91	Facility		$211.62	$329.80	$961.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $211.62 / $329.80 / $961.91	Facility		$211.62	$329.80	$961.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.41 / $164.90 / $847.53	Professional		$137.41	$164.90	$847.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $211.62 / $329.80 / $961.91	Facility		$211.62	$329.80	$961.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $459.00 / $655.61 / $919.53	Professional		$459.00	$655.61	$919.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $549.66 / $1,305.44 / $1,305.44	Facility		$549.66	$1,305.44	$1,305.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,099.32 / $1,099.32 / $1,368.65	Professional		$1,099.32	$1,099.32	$1,368.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $585.26 / $585.26 / $585.26	Professional		$585.26	$585.26	$585.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,500.57 / $1,500.57 / $1,500.57	Professional		$1,500.57	$1,500.57	$1,500.57
United Facility/Professional Professional Modifier Low / Median / High Price $137.41 / $164.90 / $728.87	Professional		$137.41	$164.90	$728.87