Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.95 / $311.19 / $803.89	Facility		$248.95	$311.19	$803.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.74 / $197.09 / $429.55	Professional		$159.74	$197.09	$429.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.04 / $539.40 / $570.52	Facility		$446.04	$539.40	$570.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.45 / $207.46 / $892.08	Professional		$102.45	$207.46	$892.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $585.50 / $610.29 / $610.29	Facility		$585.50	$610.29	$610.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.30 / $667.62 / $1,024.15	Facility		$571.30	$667.62	$1,024.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.30 / $558.65 / $634.83	Professional		$238.30	$558.65	$634.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $159.74 / $248.95 / $726.11	Facility		$159.74	$248.95	$726.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.71 / $248.95 / $726.11	Facility		$186.71	$248.95	$726.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.33 / $169.82 / $746.86	Professional		$120.33	$169.82	$746.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $207.46	Professional		$50.00	$70.00	$207.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $159.74 / $248.95 / $726.11	Facility		$159.74	$248.95	$726.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $416.65 / $540.76 / $705.10	Professional		$416.65	$540.76	$705.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $448.71 / $985.44 / $985.44	Facility		$448.71	$985.44	$985.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $300.82 / $1,037.30 / $1,037.30	Professional		$300.82	$1,037.30	$1,037.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $213.44 / $213.44 / $441.80	Professional		$213.44	$213.44	$441.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $213.44 / $702.99 / $1,132.73	Professional		$213.44	$702.99	$1,132.73
United Facility/Professional Professional Modifier Low / Median / High Price $118.87 / $165.97 / $501.49	Professional		$118.87	$165.97	$501.49