Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.70 / $134.74 / $195.80	Professional		$89.70	$134.74	$195.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $187.55 / $498.94	Professional		$66.00	$187.55	$498.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $342.70 / $342.70 / $361.14	Facility		$342.70	$342.70	$361.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $374.88 / $426.00 / $604.66	Facility		$374.88	$426.00	$604.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.25 / $169.94 / $387.65	Professional		$126.25	$169.94	$387.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $87.35 / $139.79 / $474.30	Facility		$87.35	$139.79	$474.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.35 / $139.79 / $497.22	Facility		$87.35	$139.79	$497.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.93 / $163.94 / $957.98	Professional		$86.93	$163.94	$957.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $87.35 / $139.79 / $474.30	Facility		$87.35	$139.79	$474.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $175.71 / $277.67 / $403.81	Professional		$175.71	$277.67	$403.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $277.81 / $277.81 / $556.67	Facility		$277.81	$277.81	$556.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.05 / $582.45 / $957.98	Professional		$158.05	$582.45	$957.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $227.63 / $227.63 / $248.07	Professional		$227.63	$227.63	$248.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $227.63 / $244.20 / $636.04	Professional		$227.63	$244.20	$636.04
United Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $116.50 / $378.59	Professional		$72.34	$116.50	$378.59