Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.45 / $408.45 / $408.45	Facility		$408.45	$408.45	$408.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.69 / $367.61 / $481.77	Professional		$256.69	$367.61	$481.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $608.90 / $1,108.20 / $1,108.20	Facility		$608.90	$1,108.20	$1,108.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.44 / $566.28 / $761.12	Professional		$473.44	$566.28	$761.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.92 / $46.28 / $137.66	Facility		$42.92	$46.28	$137.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.73 / $283.73 / $1,631.03	Facility		$283.73	$283.73	$1,631.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.17 / $705.00 / $881.25	Professional		$241.17	$705.00	$881.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $115.17 / $474.30 / $730.68	Facility		$115.17	$474.30	$730.68
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $427.22 / $427.22 / $730.68	Professional		$427.22	$427.22	$730.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.17 / $700.24 / $3,331.13	Facility		$115.17	$700.24	$3,331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $268.16 / $365.67 / $758.70	Professional		$268.16	$365.67	$758.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $211.35 / $385.13	Professional		$55.00	$211.35	$385.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $115.17 / $474.30 / $730.68	Facility		$115.17	$474.30	$730.68
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $427.22 / $427.22 / $730.68	Professional		$427.22	$427.22	$730.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $148.29 / $192.55	Professional		$67.98	$148.29	$192.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $283.73 / $863.30 / $3,331.13	Facility		$283.73	$863.30	$3,331.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $283.73 / $423.43	Professional		$47.85	$283.73	$423.43
United Facility/Professional Professional Modifier Low / Median / High Price $236.44 / $346.91 / $732.88	Professional		$236.44	$346.91	$732.88