Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.63 / $349.63 / $649.73	Facility		$349.63	$349.63	$649.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.35 / $276.79 / $400.12	Professional		$224.35	$276.79	$400.12
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 / $116.54 / $1,247.95	Professional		$116.54	$116.54	$1,247.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $712.06 / $712.06 / $740.05	Facility		$712.06	$712.06	$740.05
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 / $174.82 / $898.51	Professional		$145.68	$174.82	$898.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $145.68	Professional		$50.00	$65.00	$145.68
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 $523.66 / $694.94 / $974.70	Professional		$523.66	$694.94	$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 $268.39 / $1,456.80 / $1,456.80	Professional		$268.39	$1,456.80	$1,456.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $291.36 / $291.36 / $620.46	Professional		$291.36	$291.36	$620.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $291.36 / $291.36 / $1,590.83	Professional		$291.36	$291.36	$1,590.83
United Facility/Professional Facility Modifier Low / Median / High Price $291.36 / $291.36 / $291.36	Facility		$291.36	$291.36	$291.36
United Facility/Professional Professional Modifier Low / Median / High Price $145.68 / $174.82 / $772.71	Professional		$145.68	$174.82	$772.71