Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.57 / $360.57 / $360.57	Facility		$360.57	$360.57	$360.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $325.39 / $417.15	Professional		$222.25	$325.39	$417.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $523.40 / $952.59 / $952.59	Facility		$523.40	$952.59	$952.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $376.32 / $486.76 / $654.25	Professional		$376.32	$486.76	$654.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $36.90 / $112.01	Facility		$36.90	$36.90	$112.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.39 / $382.81 / $1,414.76	Facility		$264.39	$382.81	$1,414.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.39 / $611.25 / $764.06	Professional		$325.39	$611.25	$764.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.34 / $193.19 / $540.86	Facility		$34.34	$193.19	$540.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $62.81 / $273.10	Professional		$62.81	$62.81	$273.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.34 / $392.30 / $1,770.01	Facility		$52.34	$392.30	$1,770.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $185.74 / $273.10 / $431.02	Professional		$185.74	$273.10	$431.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.98 / $58.40 / $402.78	Professional		$0.98	$58.40	$402.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $34.34 / $334.19 / $540.86	Facility		$34.34	$334.19	$540.86
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $62.81 / $62.81 / $273.10	Professional		$62.81	$62.81	$273.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $58.44 / $115.16 / $149.53	Professional		$58.44	$115.16	$149.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $264.39 / $637.12 / $1,770.01	Facility		$264.39	$637.12	$1,770.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $382.81 / $382.81	Professional		$40.29	$382.81	$382.81
United Facility/Professional Professional Modifier Low / Median / High Price $178.14 / $245.95 / $428.55	Professional		$178.14	$245.95	$428.55