Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.48 / $263.10 / $391.14	Facility		$210.48	$263.10	$391.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.06 / $210.48 / $344.25	Professional		$135.06	$210.48	$344.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $377.11 / $456.04 / $482.35	Facility		$377.11	$456.04	$482.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $175.40 / $751.27	Professional		$70.16	$175.40	$751.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $260.52 / $445.52	Facility		$175.40	$260.52	$445.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $184.17 / $226.68	Professional		$175.40	$184.17	$226.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.00 / $564.41 / $865.84	Facility		$483.00	$564.41	$865.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.54 / $472.32 / $536.73	Professional		$201.54	$472.32	$536.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $135.06 / $210.48 / $613.90	Facility		$135.06	$210.48	$613.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $157.86 / $210.48 / $613.90	Facility		$157.86	$210.48	$613.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.63 / $108.14 / $631.44	Professional		$89.63	$108.14	$631.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $484.10	Professional		$50.00	$85.00	$484.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $135.06 / $210.48 / $613.90	Facility		$135.06	$210.48	$613.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $342.25 / $427.53 / $586.34	Professional		$342.25	$427.53	$586.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $350.80 / $833.15 / $833.15	Facility		$350.80	$833.15	$833.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $254.33 / $877.00 / $877.00	Professional		$254.33	$877.00	$877.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $135.16 / $135.16 / $373.52	Professional		$135.16	$135.16	$373.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $135.16 / $135.16 / $957.68	Professional		$135.16	$135.16	$957.68
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $107.55 / $465.18	Professional		$78.93	$107.55	$465.18