Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.99 / $295.99 / $295.99	Facility		$295.99	$295.99	$295.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.17 / $324.58 / $407.68	Professional		$290.17	$324.58	$407.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $586.74 / $645.41 / $1,067.86	Facility		$586.74	$645.41	$1,067.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $507.47 / $545.66 / $721.69	Professional		$507.47	$545.66	$721.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $422.09 / $1,255.61 / $1,255.61	Facility		$422.09	$1,255.61	$1,255.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.88 / $1,212.94 / $2,449.23	Facility		$372.88	$1,212.94	$2,449.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.20 / $850.31 / $1,110.45	Professional		$272.20	$850.31	$1,110.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $179.44 / $443.99 / $674.75	Facility		$179.44	$443.99	$674.75
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $335.94 / $586.74 / $742.87	Professional		$335.94	$586.74	$742.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.99 / $586.74 / $3,004.61	Facility		$295.99	$586.74	$3,004.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $261.58 / $324.27 / $662.40	Professional		$261.58	$324.27	$662.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $285.76	Professional		$50.00	$70.00	$285.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $179.44 / $443.99 / $674.75	Facility		$179.44	$443.99	$674.75
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $335.94 / $586.74 / $742.87	Professional		$335.94	$586.74	$742.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $586.74 / $902.97 / $1,668.15	Professional		$586.74	$902.97	$1,668.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $372.88 / $1,145.98 / $3,004.61	Facility		$372.88	$1,145.98	$3,004.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $272.20 / $372.88 / $3,565.78	Professional		$272.20	$372.88	$3,565.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $586.74 / $586.74 / $586.74	Professional		$586.74	$586.74	$586.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $468.49 / $586.74 / $586.74	Professional		$468.49	$586.74	$586.74
United Facility/Professional Professional Modifier Low / Median / High Price $233.75 / $307.35 / $586.74	Professional		$233.75	$307.35	$586.74