Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $525.80 / $525.80 / $525.80	Facility		$525.80	$525.80	$525.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.64 / $474.24 / $600.17	Professional		$323.64	$474.24	$600.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $774.50 / $1,409.59 / $1,409.59	Facility		$774.50	$1,409.59	$1,409.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.26 / $720.29 / $1,045.53	Professional		$720.26	$720.29	$1,045.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.56 / $461.72 / $1,657.37	Facility		$61.56	$461.72	$1,657.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.13 / $278.13 / $2,345.98	Facility		$278.13	$278.13	$2,345.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.41 / $895.88 / $1,119.83	Professional		$236.41	$895.88	$1,119.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $532.15 / $694.28 / $984.16	Facility		$532.15	$694.28	$984.16
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,026.95 / $1,026.95 / $1,026.95	Professional		$1,026.95	$1,026.95	$1,026.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $532.15 / $984.16 / $3,649.09	Facility		$532.15	$984.16	$3,649.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $340.25 / $427.51 / $962.45	Professional		$340.25	$427.51	$962.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $181.38	Professional		$50.00	$65.00	$181.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $525.80 / $788.72 / $984.16	Facility		$525.80	$788.72	$984.16
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1,026.95 / $1,026.95 / $1,026.95	Professional		$1,026.95	$1,026.95	$1,026.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.23 / $178.27 / $231.47	Professional		$102.23	$178.27	$231.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $278.13 / $1,503.82 / $3,649.09	Facility		$278.13	$1,503.82	$3,649.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $278.13 / $278.13 / $278.13	Professional		$278.13	$278.13	$278.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $848.41 / $848.41 / $848.41	Professional		$848.41	$848.41	$848.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $848.41 / $848.41 / $848.41	Professional		$848.41	$848.41	$848.41
United Facility/Professional Professional Modifier Low / Median / High Price $283.81 / $425.32 / $943.53	Professional		$283.81	$425.32	$943.53