Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.89 / $331.11 / $492.25	Facility		$264.89	$331.11	$492.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.97 / $209.52 / $264.89	Professional		$169.97	$209.52	$264.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $474.59 / $573.91 / $607.04	Facility		$474.59	$573.91	$607.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.01 / $220.74 / $949.18	Professional		$109.01	$220.74	$949.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $599.41 / $599.41 / $622.99	Facility		$599.41	$599.41	$622.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $607.35 / $709.74 / $1,088.76	Facility		$607.35	$709.74	$1,088.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.58 / $594.41 / $675.46	Professional		$253.58	$594.41	$675.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $169.97 / $264.89 / $772.59	Facility		$169.97	$264.89	$772.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $198.67 / $264.89 / $772.59	Facility		$198.67	$264.89	$772.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.03 / $180.69 / $794.66	Professional		$128.03	$180.69	$794.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $609.24	Professional		$50.00	$70.00	$609.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $169.97 / $264.89 / $772.59	Facility		$169.97	$264.89	$772.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $443.30 / $574.98 / $750.20	Professional		$443.30	$574.98	$750.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $589.42 / $1,048.52 / $1,048.52	Facility		$589.42	$1,048.52	$1,048.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $320.07 / $1,103.70 / $1,103.70	Professional		$320.07	$1,103.70	$1,103.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $227.10 / $227.10 / $470.08	Professional		$227.10	$227.10	$470.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $227.10 / $748.00 / $1,205.24	Professional		$227.10	$748.00	$1,205.24
United Facility/Professional Professional Modifier Low / Median / High Price $126.48 / $176.59 / $533.60	Professional		$126.48	$176.59	$533.60