Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $147.24 / $196.32	Facility		$98.16	$147.24	$196.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $98.16 / $151.30	Professional		$75.00	$98.16	$151.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.60 / $211.04 / $218.90	Facility		$181.60	$211.04	$218.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.14 / $75.14 / $122.70	Professional		$75.14	$75.14	$122.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.06 / $157.06 / $205.15	Facility		$157.06	$157.06	$205.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $202.65 / $289.67	Facility		$96.58	$202.65	$289.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.60 / $136.19 / $154.78	Professional		$87.60	$136.19	$154.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $83.49 / $215.99	Facility		$83.49	$83.49	$215.99
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $196.32 / $196.32 / $196.32	Professional		$196.32	$196.32	$196.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.09 / $83.49 / $183.91	Facility		$68.09	$83.49	$183.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.36 / $88.03 / $196.32	Professional		$73.36	$88.03	$196.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $83.49 / $98.49	Professional		$55.00	$83.49	$98.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $83.49 / $215.99	Facility		$83.49	$83.49	$215.99
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $196.32 / $196.32 / $196.32	Professional		$196.32	$196.32	$196.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $139.32 / $283.80	Professional		$40.00	$139.32	$283.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $150.50 / $150.50 / $150.50	Facility		$150.50	$150.50	$150.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $49.94 / $137.82 / $137.82	Professional		$49.94	$137.82	$137.82
United Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $97.44 / $137.97	Professional		$86.23	$97.44	$137.97