Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.28 / $506.60 / $753.14	Facility		$405.28	$506.60	$753.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.05 / $320.83 / $506.60	Professional		$260.05	$320.83	$506.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $726.12 / $878.10 / $928.76	Facility		$726.12	$878.10	$928.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.09 / $135.09 / $1,350.92	Professional		$135.09	$135.09	$1,350.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $857.83 / $894.17 / $894.17	Facility		$857.83	$894.17	$894.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $929.05 / $1,085.67 / $1,665.45	Facility		$929.05	$1,085.67	$1,665.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.22 / $909.44 / $1,033.45	Professional		$388.22	$909.44	$1,033.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $260.05 / $405.28 / $1,182.06	Facility		$260.05	$405.28	$1,182.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $303.95 / $405.28 / $1,182.06	Facility		$303.95	$405.28	$1,182.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.53 / $202.64 / $1,041.51	Professional		$77.53	$202.64	$1,041.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $168.87	Professional		$50.00	$70.00	$168.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $260.05 / $405.28 / $1,182.06	Facility		$260.05	$405.28	$1,182.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $247.10 / $805.24 / $1,129.40	Professional		$247.10	$805.24	$1,129.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $675.46 / $1,604.22 / $1,604.22	Facility		$675.46	$1,604.22	$1,604.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $489.71 / $1,688.65 / $1,688.65	Professional		$489.71	$1,688.65	$1,688.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $97.69 / $97.69 / $719.21	Professional		$97.69	$97.69	$719.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $97.69 / $321.75 / $1,844.01	Professional		$97.69	$321.75	$1,844.01
United Facility/Professional Professional Modifier Low / Median / High Price $77.72 / $202.64 / $523.48	Professional		$77.72	$202.64	$523.48