Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.71 / $153.38 / $228.04	Facility		$122.71	$153.38	$228.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $105.61 / $140.43	Professional		$76.70	$105.61	$140.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.86 / $265.88 / $281.22	Facility		$219.86	$265.88	$281.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $102.26 / $437.99	Professional		$40.90	$102.26	$437.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.26 / $151.87 / $259.74	Facility		$102.26	$151.87	$259.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $107.37 / $132.16	Professional		$102.26	$107.37	$132.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.14 / $328.55 / $504.00	Facility		$281.14	$328.55	$504.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.29 / $275.36 / $312.91	Professional		$117.29	$275.36	$312.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $78.73 / $122.71 / $357.91	Facility		$78.73	$122.71	$357.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.03 / $122.71 / $357.91	Facility		$92.03	$122.71	$357.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $61.36 / $315.35	Professional		$51.13	$61.36	$315.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $102.26	Professional		$50.00	$70.00	$102.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $78.73 / $122.71 / $357.91	Facility		$78.73	$122.71	$357.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $194.40 / $249.26 / $341.85	Professional		$194.40	$249.26	$341.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,569.67 / $1,569.67 / $1,569.67	Facility		$1,569.67	$1,569.67	$1,569.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $148.28 / $511.30 / $511.30	Professional		$148.28	$511.30	$511.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $217.77 / $217.77 / $217.77	Professional		$217.77	$217.77	$217.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $297.19 / $558.34 / $558.34	Professional		$297.19	$558.34	$558.34
United Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $61.36 / $214.75	Professional		$42.95	$61.36	$214.75