Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.16 / $323.70 / $1,070.46	Facility		$171.16	$323.70	$1,070.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.34 / $118.37 / $195.87	Professional		$102.34	$118.37	$195.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.64 / $370.84 / $392.23	Facility		$306.64	$370.84	$392.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $57.05 / $610.91	Professional		$57.05	$57.05	$610.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $171.16 / $362.28	Facility		$142.63	$171.16	$362.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $149.76 / $184.44	Professional		$142.63	$149.76	$184.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.89 / $459.12 / $704.30	Facility		$392.89	$459.12	$704.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $384.08 / $436.45	Professional		$163.96	$384.08	$436.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $109.83 / $171.16 / $499.21	Facility		$109.83	$171.16	$499.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.83 / $171.16 / $499.21	Facility		$109.83	$171.16	$499.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $85.58 / $439.85	Professional		$71.31	$85.58	$439.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $393.66	Professional		$50.00	$70.00	$393.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $109.83 / $171.16 / $499.21	Facility		$109.83	$171.16	$499.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $256.31 / $340.14 / $477.07	Professional		$256.31	$340.14	$477.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $285.26 / $677.49 / $677.49	Facility		$285.26	$677.49	$677.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $135.86 / $570.52 / $710.30	Professional		$135.86	$570.52	$710.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $303.74	Professional		$142.63	$142.63	$303.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $414.51 / $778.76	Professional		$142.63	$414.51	$778.76
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $85.58 / $299.52	Professional		$59.90	$85.58	$299.52