Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.45 / $170.45 / $170.45	Facility		$170.45	$170.45	$170.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.08 / $170.45 / $271.72	Professional		$143.08	$170.45	$271.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.89 / $371.68 / $614.96	Facility		$337.89	$371.68	$614.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.10 / $314.24 / $415.60	Professional		$304.10	$314.24	$415.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $243.08 / $723.08 / $723.08	Facility		$243.08	$723.08	$723.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.57 / $698.87 / $1,410.76	Facility		$218.57	$698.87	$1,410.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $489.84 / $639.49	Professional		$159.56	$489.84	$639.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $97.03 / $255.68 / $388.57	Facility		$97.03	$255.68	$388.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $193.46 / $337.89 / $405.47	Professional		$193.46	$337.89	$405.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.97 / $337.89 / $1,607.39	Facility		$167.97	$337.89	$1,607.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.97 / $177.00 / $375.77	Professional		$138.97	$177.00	$375.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $168.71	Professional		$50.00	$70.00	$168.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $97.03 / $255.68 / $388.57	Facility		$97.03	$255.68	$388.57
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $193.46 / $337.89 / $405.47	Professional		$193.46	$337.89	$405.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $337.89 / $520.00 / $902.33	Professional		$337.89	$520.00	$902.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $218.57 / $659.94 / $1,607.39	Facility		$218.57	$659.94	$1,607.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $218.57 / $2,114.42	Professional		$159.56	$218.57	$2,114.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $337.89 / $337.89 / $337.89	Professional		$337.89	$337.89	$337.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $269.77 / $337.89 / $337.89	Professional		$269.77	$337.89	$337.89
United Facility/Professional Professional Modifier Low / Median / High Price $125.26 / $168.57 / $323.08	Professional		$125.26	$168.57	$323.08