Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.63 / $437.04 / $649.73	Facility		$349.63	$437.04	$649.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.35 / $276.79 / $442.87	Professional		$224.35	$276.79	$442.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $626.41 / $757.54 / $801.24	Facility		$626.41	$757.54	$801.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.54 / $291.07 / $1,247.95	Professional		$116.54	$291.07	$1,247.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $291.36 / $432.74 / $740.05	Facility		$291.36	$432.74	$740.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $291.36 / $305.93 / $376.83	Professional		$291.36	$305.93	$376.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $802.00 / $937.20 / $1,437.68	Facility		$802.00	$937.20	$1,437.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.94 / $784.58 / $891.56	Professional		$334.94	$784.58	$891.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $224.35 / $349.63 / $1,019.76	Facility		$224.35	$349.63	$1,019.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $262.22 / $349.63 / $1,019.76	Facility		$262.22	$349.63	$1,019.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $145.68 / $176.04 / $898.51	Professional		$145.68	$176.04	$898.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $804.15	Professional		$50.00	$70.00	$804.15
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $224.35 / $349.63 / $1,019.76	Facility		$224.35	$349.63	$1,019.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $557.17 / $710.71 / $974.70	Professional		$557.17	$710.71	$974.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $582.72 / $1,383.96 / $1,383.96	Facility		$582.72	$1,383.96	$1,383.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $422.47 / $1,456.80 / $1,456.80	Professional		$422.47	$1,456.80	$1,456.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $220.05 / $220.05 / $620.46	Professional		$220.05	$220.05	$620.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $220.05 / $846.75 / $1,590.83	Professional		$220.05	$846.75	$1,590.83
United Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $175.08 / $612.78	Professional		$145.90	$175.08	$612.78