Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.45 / $469.53 / $885.37	Facility		$263.45	$469.53	$885.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.16 / $685.15 / $1,328.37	Professional		$464.16	$685.15	$1,328.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.15 / $478.85 / $1,134.80	Professional		$219.15	$478.85	$1,134.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.09 / $184.80 / $184.80	Facility		$122.09	$184.80	$184.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $228.10 / $324.92 / $502.23	Professional		$228.10	$324.92	$502.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $641.60 / $749.76 / $1,209.33	Facility		$641.60	$749.76	$1,209.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.37 / $456.25 / $864.16	Professional		$322.37	$456.25	$864.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $128.80 / $242.87 / $474.70	Facility		$128.80	$242.87	$474.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.21 / $398.59 / $5,261.00	Facility		$131.21	$398.59	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $280.69 / $715.08 / $1,309.90	Professional		$280.69	$715.08	$1,309.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $297.86 / $577.40	Professional		$85.00	$297.86	$577.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $128.80 / $242.87 / $474.70	Facility		$128.80	$242.87	$474.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $294.63 / $468.65 / $810.55	Professional		$294.63	$468.65	$810.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $904.08 / $904.08 / $904.08	Facility		$904.08	$904.08	$904.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $636.90 / $1,205.45 / $1,791.04	Professional		$636.90	$1,205.45	$1,791.04
United Facility/Professional Professional Modifier Low / Median / High Price $247.05 / $555.95 / $1,148.91	Professional		$247.05	$555.95	$1,148.91