Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.68 / $819.96 / $1,891.64	Facility		$313.68	$819.96	$1,891.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.68 / $452.44 / $794.49	Professional		$313.68	$452.44	$794.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $580.30 / $674.41 / $699.51	Facility		$580.30	$674.41	$699.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.78 / $422.19 / $521.53	Professional		$373.78	$422.19	$521.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.89 / $655.59 / $655.59	Facility		$501.89	$655.59	$655.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.59 / $849.99 / $1,215.00	Facility		$468.59	$849.99	$1,215.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.66 / $714.14 / $811.53	Professional		$323.66	$714.14	$811.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $181.24 / $312.02 / $524.19	Facility		$181.24	$312.02	$524.19
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $627.36 / $627.36 / $627.36	Professional		$627.36	$627.36	$627.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $182.45 / $421.65 / $943.73	Facility		$182.45	$421.65	$943.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $340.89 / $409.07 / $627.36	Professional		$340.89	$409.07	$627.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $275.23 / $775.11	Professional		$65.00	$275.23	$775.11
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $181.24 / $312.02 / $524.19	Facility		$181.24	$312.02	$524.19
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $627.36 / $627.36 / $627.36	Professional		$627.36	$627.36	$627.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $313.68 / $488.27 / $1,013.00	Professional		$313.68	$488.27	$1,013.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,588.35 / $1,588.35 / $1,588.35	Facility		$1,588.35	$1,588.35	$1,588.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $486.76 / $486.76 / $486.76	Professional		$486.76	$486.76	$486.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $425.06 / $440.41 / $440.41	Professional		$425.06	$440.41	$440.41
United Facility/Professional Professional Modifier Low / Median / High Price $340.89 / $385.21 / $545.41	Professional		$340.89	$385.21	$545.41