Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.40 / $288.00 / $428.16	Facility		$230.40	$288.00	$428.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.84 / $182.40 / $291.83	Professional		$147.84	$182.40	$291.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $83.67 / $768.00	Professional		$33.47	$83.67	$768.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $469.23 / $469.23 / $487.68	Facility		$469.23	$469.23	$487.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $528.05 / $617.08 / $946.61	Facility		$528.05	$617.08	$946.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.09 / $517.02 / $587.53	Professional		$208.09	$517.02	$587.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $147.84 / $230.40 / $672.00	Facility		$147.84	$230.40	$672.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $172.80 / $230.40 / $672.00	Facility		$172.80	$230.40	$672.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $115.20 / $531.84	Professional		$50.20	$115.20	$531.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $96.00	Professional		$50.00	$70.00	$96.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $147.84 / $230.40 / $672.00	Facility		$147.84	$230.40	$672.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $159.49 / $458.15 / $642.59	Professional		$159.49	$458.15	$642.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $385.41 / $912.00 / $912.00	Facility		$385.41	$912.00	$912.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $93.34 / $960.00 / $960.00	Professional		$93.34	$960.00	$960.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $62.75 / $408.87	Professional		$62.75	$62.75	$408.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $307.67 / $1,048.32	Professional		$62.75	$307.67	$1,048.32
United Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $115.20 / $268.80	Professional		$50.20	$115.20	$268.80