Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $78.31 / $78.31	Facility		$78.31	$78.31	$78.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $78.31 / $130.93	Professional		$68.94	$78.31	$130.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.26 / $170.79 / $282.57	Facility		$155.26	$170.79	$282.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.72 / $144.38 / $190.96	Professional		$139.72	$144.38	$190.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.69 / $332.26 / $332.26	Facility		$111.69	$332.26	$332.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $320.83 / $648.00	Facility		$100.43	$320.83	$648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $225.00 / $293.83	Professional		$73.31	$225.00	$293.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $46.76 / $117.48 / $178.55	Facility		$46.76	$117.48	$178.55
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $88.90 / $155.26 / $186.31	Professional		$88.90	$155.26	$186.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $155.26 / $757.74	Facility		$78.31	$155.26	$757.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.97 / $84.50 / $175.28	Professional		$66.97	$84.50	$175.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $64.33 / $85.00	Professional		$50.00	$64.33	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $46.76 / $117.48 / $178.55	Facility		$46.76	$117.48	$178.55
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $88.90 / $155.26 / $186.31	Professional		$88.90	$155.26	$186.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $155.26 / $238.93 / $434.60	Professional		$155.26	$238.93	$434.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $303.24 / $757.74	Facility		$100.43	$303.24	$757.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $100.43 / $958.17	Professional		$73.31	$100.43	$958.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $155.26 / $155.26 / $155.26	Professional		$155.26	$155.26	$155.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $155.26 / $155.26 / $155.26	Professional		$155.26	$155.26	$155.26
United Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $77.45 / $148.44	Professional		$60.36	$77.45	$148.44