Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.18 / $313.98 / $466.78	Facility		$251.18	$313.98	$466.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.64 / $198.85 / $518.91	Professional		$171.64	$198.85	$518.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.04 / $544.23 / $575.63	Facility		$450.04	$544.23	$575.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $127.68 / $853.86	Professional		$83.73	$127.68	$853.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.19 / $511.56 / $531.66	Facility		$134.19	$511.56	$531.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.82 / $672.89 / $1,032.22	Facility		$575.82	$672.89	$1,032.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.37 / $563.66 / $640.53	Professional		$240.37	$563.66	$640.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $104.66 / $251.18	Facility		$104.66	$104.66	$251.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $171.64 / $994.27	Facility		$104.66	$171.64	$994.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.41 / $167.46 / $387.20	Professional		$101.41	$167.46	$387.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $103.61 / $313.98	Professional		$55.00	$103.61	$313.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $104.66 / $251.18	Facility		$104.66	$104.66	$251.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $245.86 / $512.41 / $745.62	Professional		$245.86	$512.41	$745.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $418.64 / $418.64 / $994.27	Facility		$418.64	$418.64	$994.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $80.19 / $87.74 / $126.50	Professional		$80.19	$87.74	$126.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $135.77 / $135.77 / $445.76	Professional		$135.77	$135.77	$445.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $135.77 / $608.33 / $1,142.89	Professional		$135.77	$608.33	$1,142.89
United Facility/Professional Professional Modifier Low / Median / High Price $96.22 / $144.82 / $387.20	Professional		$96.22	$144.82	$387.20