Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.35 / $296.08 / $999.37	Facility		$138.35	$296.08	$999.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.35 / $254.86 / $744.86	Professional		$138.35	$254.86	$744.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.26 / $319.26 / $843.43	Professional		$175.26	$319.26	$843.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $334.36 / $334.36 / $334.36	Facility		$334.36	$334.36	$334.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $713.69 / $834.00 / $1,279.38	Facility		$713.69	$834.00	$1,279.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.26 / $570.26 / $1,217.50	Professional		$231.26	$570.26	$1,217.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $138.35 / $254.86 / $540.29	Facility		$138.35	$254.86	$540.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.35 / $293.30 / $1,449.00	Facility		$138.35	$293.30	$1,449.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $258.06 / $538.94 / $1,965.28	Professional		$258.06	$538.94	$1,965.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.87 / $270.61 / $631.07	Professional		$152.87	$270.61	$631.07
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $138.35 / $254.86 / $540.29	Facility		$138.35	$254.86	$540.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $337.11 / $562.29 / $924.09	Professional		$337.11	$562.29	$924.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $292.86 / $292.86 / $675.44	Facility		$292.86	$292.86	$675.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $310.55 / $1,061.76 / $1,965.28	Professional		$310.55	$1,061.76	$1,965.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $452.39 / $452.39 / $819.22	Professional		$452.39	$452.39	$819.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $588.63 / $907.52 / $1,705.07	Professional		$588.63	$907.52	$1,705.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $249.22 / $444.87 / $1,069.55	Professional		$249.22	$444.87	$1,069.55