Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.80 / $369.35 / $521.82	Facility		$280.80	$369.35	$521.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.18 / $222.30 / $355.68	Professional		$180.18	$222.30	$355.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $503.10 / $608.40 / $643.50	Facility		$503.10	$608.40	$643.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.60 / $234.00 / $1,002.26	Professional		$93.60	$234.00	$1,002.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $571.88 / $571.88 / $594.36	Facility		$571.88	$571.88	$594.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.29 / $752.92 / $1,154.99	Facility		$644.29	$752.92	$1,154.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.86 / $630.11 / $716.04	Professional		$268.86	$630.11	$716.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $180.18 / $280.80 / $819.00	Facility		$180.18	$280.80	$819.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $210.60 / $280.80 / $819.00	Facility		$210.60	$280.80	$819.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $140.40 / $721.62	Professional		$117.00	$140.40	$721.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $234.00	Professional		$50.00	$70.00	$234.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $180.18 / $280.80 / $819.00	Facility		$180.18	$280.80	$819.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $444.93 / $570.29 / $782.14	Professional		$444.93	$570.29	$782.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $468.00 / $1,111.50 / $1,111.50	Facility		$468.00	$1,111.50	$1,111.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $339.30 / $1,170.00 / $1,170.00	Professional		$339.30	$1,170.00	$1,170.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $498.31 / $498.31 / $498.31	Professional		$498.31	$498.31	$498.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $680.05 / $1,277.64 / $1,277.64	Professional		$680.05	$1,277.64	$1,277.64
United Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $234.00 / $234.00	Facility		$234.00	$234.00	$234.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $140.40 / $491.40	Professional		$98.28	$140.40	$491.40