Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.60 / $188.25 / $279.87	Facility		$150.60	$188.25	$279.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.05 / $117.97 / $493.41	Professional		$90.05	$117.97	$493.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.83 / $326.30 / $345.13	Facility		$269.83	$326.30	$345.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.98 / $76.55 / $519.25	Professional		$61.98	$76.55	$519.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $340.78 / $354.18	Facility		$83.71	$340.78	$354.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.13 / $403.31 / $618.69	Facility		$345.13	$403.31	$618.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.13 / $337.94 / $384.03	Professional		$144.13	$337.94	$384.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $79.94 / $88.85 / $150.60	Facility		$79.94	$88.85	$150.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.94 / $102.91 / $596.13	Facility		$79.94	$102.91	$596.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.64 / $125.50 / $347.64	Professional		$73.64	$125.50	$347.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $246.02	Professional		$55.00	$85.00	$246.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $79.94 / $88.85 / $150.60	Facility		$79.94	$88.85	$150.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $153.38 / $307.30 / $522.08	Professional		$153.38	$307.30	$522.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $251.00 / $251.00 / $596.13	Facility		$251.00	$251.00	$596.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $62.55 / $66.52 / $122.06	Professional		$62.55	$66.52	$122.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $129.11 / $129.11 / $267.26	Professional		$129.11	$129.11	$267.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $129.11 / $364.73 / $685.23	Professional		$129.11	$364.73	$685.23
United Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $103.51 / $343.93	Professional		$70.00	$103.51	$343.93