Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $425.26 / $1,282.17	Facility		$270.00	$425.26	$1,282.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.59 / $102.07 / $128.40	Professional		$85.59	$102.07	$128.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $336.67 / $407.13 / $430.62	Facility		$336.67	$407.13	$430.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $45.77 / $638.77	Professional		$45.77	$45.77	$638.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.31 / $382.69 / $397.74	Facility		$80.31	$382.69	$397.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $156.59 / $156.59 / $156.59	Professional		$156.59	$156.59	$156.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $430.74 / $503.35 / $772.15	Facility		$430.74	$503.35	$772.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.33 / $204.38 / $479.16	Professional		$82.33	$204.38	$479.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $81.45 / $154.65 / $200.44	Facility		$81.45	$154.65	$200.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.45 / $156.59 / $743.80	Facility		$81.45	$156.59	$743.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.79 / $125.27 / $281.86	Professional		$73.79	$125.27	$281.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $234.89	Professional		$55.00	$85.00	$234.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $81.45 / $154.65 / $200.44	Facility		$81.45	$154.65	$200.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $174.09 / $381.78 / $532.40	Professional		$174.09	$381.78	$532.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $313.18 / $313.18 / $743.80	Facility		$313.18	$313.18	$743.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $59.04 / $82.33 / $82.33	Professional		$59.04	$82.33	$82.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $120.74 / $333.47	Professional		$120.74	$120.74	$333.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $455.08 / $854.98 / $854.98	Professional		$455.08	$854.98	$854.98
United Facility/Professional Professional Modifier Low / Median / High Price $73.79 / $125.27 / $482.90	Professional		$73.79	$125.27	$482.90