Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.31 / $605.39 / $900.01	Facility		$484.31	$605.39	$900.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.76 / $383.41 / $605.39	Professional		$310.76	$383.41	$605.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $867.72 / $1,049.33 / $1,109.86	Facility		$867.72	$1,049.33	$1,109.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.44 / $300.61 / $1,728.65	Professional		$161.44	$300.61	$1,728.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $986.34 / $986.34 / $1,025.11	Facility		$986.34	$986.34	$1,025.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,111.08 / $1,298.39 / $1,991.76	Facility		$1,111.08	$1,298.39	$1,991.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.80 / $1,086.79 / $1,234.99	Professional		$463.80	$1,086.79	$1,234.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $310.76 / $484.31 / $1,412.57	Facility		$310.76	$484.31	$1,412.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.23 / $484.31 / $1,412.57	Facility		$363.23	$484.31	$1,412.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.51 / $242.15 / $1,244.60	Professional		$169.51	$242.15	$1,244.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $241.09	Professional		$50.00	$70.00	$241.09
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $310.76 / $484.31 / $1,412.57	Facility		$310.76	$484.31	$1,412.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $575.66 / $962.58 / $1,350.09	Professional		$575.66	$962.58	$1,350.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $807.18 / $1,917.05 / $1,917.05	Facility		$807.18	$1,917.05	$1,917.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $585.21 / $2,017.95 / $2,017.95	Professional		$585.21	$2,017.95	$2,017.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $227.27 / $227.27 / $859.46	Professional		$227.27	$227.27	$859.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $227.27 / $880.64 / $2,203.60	Professional		$227.27	$880.64	$2,203.60
United Facility/Professional Professional Modifier Low / Median / High Price $169.51 / $242.15 / $726.46	Professional		$169.51	$242.15	$726.46