Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.23 / $244.23 / $244.23	Facility		$244.23	$244.23	$244.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.54 / $244.23 / $961.47	Professional		$231.54	$244.23	$961.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.24 / $333.24 / $549.85	Facility		$333.24	$333.24	$549.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.91 / $309.91 / $366.56	Professional		$309.91	$309.91	$366.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $299.92 / $713.13 / $713.13	Facility		$299.92	$713.13	$713.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.71 / $1,046.71 / $1,605.68	Facility		$895.71	$1,046.71	$1,605.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $482.81 / $630.69	Professional		$153.00	$482.81	$630.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $231.54 / $333.24 / $349.90	Facility		$231.54	$333.24	$349.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $119.71 / $119.71 / $119.71	Professional		$119.71	$119.71	$119.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $244.23 / $333.24 / $1,559.56	Facility		$244.23	$333.24	$1,559.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $166.25 / $376.83 / $1,011.95	Professional		$166.25	$376.83	$1,011.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $90.00	Professional		$65.00	$65.00	$90.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $231.54 / $333.24 / $349.90	Facility		$231.54	$333.24	$349.90
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $119.71 / $119.71 / $119.71	Professional		$119.71	$119.71	$119.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $333.24 / $499.86 / $787.25	Professional		$333.24	$499.86	$787.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $650.86 / $676.48 / $1,559.56	Facility		$650.86	$676.48	$1,559.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $333.24 / $333.24 / $333.24	Professional		$333.24	$333.24	$333.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $333.24 / $333.24 / $333.24	Professional		$333.24	$333.24	$333.24
United Facility/Professional Professional Modifier Low / Median / High Price $130.16 / $333.24 / $1,015.72	Professional		$130.16	$333.24	$1,015.72