Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.99 / $332.99 / $332.99	Facility		$332.99	$332.99	$332.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.26 / $282.74 / $372.06	Professional		$198.26	$282.74	$372.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $490.40 / $892.53 / $892.53	Facility		$490.40	$892.53	$892.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.89 / $456.07 / $603.19	Professional		$398.89	$456.07	$603.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.58 / $39.00 / $115.99	Facility		$34.58	$39.00	$115.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $332.93 / $332.93 / $1,207.50	Facility		$332.93	$332.93	$1,207.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.99 / $525.00 / $656.25	Professional		$282.99	$525.00	$656.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $62.33 / $332.99 / $499.49	Facility		$62.33	$332.99	$499.49
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $65.04 / $65.04 / $359.95	Professional		$65.04	$65.04	$359.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.56 / $451.64 / $1,865.59	Facility		$57.56	$451.64	$1,865.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.19 / $292.30 / $456.29	Professional		$190.19	$292.30	$456.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $161.97 / $295.15	Professional		$55.00	$161.97	$295.15
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $62.33 / $332.99 / $499.49	Facility		$62.33	$332.99	$499.49
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $65.04 / $65.04 / $359.95	Professional		$65.04	$65.04	$359.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $101.76 / $132.12	Professional		$54.75	$101.76	$132.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $332.93 / $671.52 / $1,865.59	Facility		$332.93	$671.52	$1,865.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $332.93 / $332.93	Professional		$35.75	$332.93	$332.93
United Facility/Professional Professional Modifier Low / Median / High Price $190.19 / $289.98 / $472.95	Professional		$190.19	$289.98	$472.95