Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.47 / $150.47 / $150.47	Facility		$150.47	$150.47	$150.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $123.06 / $189.74	Professional		$101.12	$123.06	$189.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.50 / $323.05 / $323.05	Facility		$177.50	$323.05	$323.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.05 / $177.47 / $247.62	Professional		$165.05	$177.47	$247.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.06 / $125.11 / $603.76	Facility		$27.06	$125.11	$603.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $126.72 / $479.40	Facility		$126.72	$126.72	$479.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.72 / $207.75 / $259.69	Professional		$126.72	$207.75	$259.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $138.00 / $300.93 / $432.58	Facility		$138.00	$300.93	$432.58
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $249.88 / $249.88 / $451.39	Professional		$249.88	$249.88	$451.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $150.47 / $376.16 / $908.34	Facility		$150.47	$376.16	$908.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.99 / $202.91 / $312.35	Professional		$111.99	$202.91	$312.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $252.38	Professional		$50.00	$65.00	$252.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $138.00 / $300.93 / $432.58	Facility		$138.00	$300.93	$432.58
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $249.88 / $249.88 / $451.39	Professional		$249.88	$249.88	$451.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $41.18 / $53.26	Professional		$23.43	$41.18	$53.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $378.79 / $908.34	Facility		$126.72	$378.79	$908.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $126.72 / $126.72 / $169.65	Professional		$126.72	$126.72	$169.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $290.08 / $290.08 / $290.08	Professional		$290.08	$290.08	$290.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $290.08 / $290.08 / $290.08	Professional		$290.08	$290.08	$290.08
United Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $164.24 / $312.35	Professional		$98.55	$164.24	$312.35