Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.06 / $449.01 / $528.89	Facility		$237.06	$449.01	$528.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $237.06 / $495.15	Professional		$230.15	$237.06	$495.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.69 / $425.78 / $513.23	Facility		$287.69	$425.78	$513.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $292.29	Professional		$230.15	$230.15	$292.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $315.10 / $315.10 / $368.24	Facility		$315.10	$315.10	$368.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.15 / $269.66 / $621.88	Facility		$230.15	$269.66	$621.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $283.83 / $386.95	Professional		$230.15	$283.83	$386.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $139.77 / $230.15 / $230.26	Facility		$139.77	$230.15	$230.26
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $89.25 / $460.30 / $460.30	Professional		$89.25	$460.30	$460.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $139.77 / $230.26 / $230.26	Facility		$139.77	$230.26	$230.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $230.26 / $230.26 / $460.30	Professional		$230.26	$230.26	$460.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.00 / $222.84	Professional		$65.00	$85.00	$222.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $139.77 / $230.15 / $230.26	Facility		$139.77	$230.15	$230.26
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $89.25 / $460.30 / $460.30	Professional		$89.25	$460.30	$460.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $243.96 / $746.69	Professional		$230.15	$243.96	$746.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,114.20 / $1,114.20 / $1,114.20	Facility		$1,114.20	$1,114.20	$1,114.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $230.15	Professional		$230.15	$230.15	$230.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $222.71 / $323.13 / $332.37	Professional		$222.71	$323.13	$332.37
United Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $230.15 / $299.20	Professional		$230.15	$230.15	$299.20