Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $74.26 / $159.05	Facility		$37.04	$74.26	$159.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $147.11 / $331.50	Professional		$72.00	$147.11	$331.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $274.19 / $301.61 / $499.03	Facility		$274.19	$301.61	$499.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.29 / $255.00 / $337.25	Professional		$244.29	$255.00	$337.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $197.23 / $586.77 / $586.77	Facility		$197.23	$586.77	$586.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $566.60 / $1,144.83	Facility		$135.00	$566.60	$1,144.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $321.18 / $518.92	Professional		$135.00	$321.18	$518.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $78.89 / $206.08 / $315.32	Facility		$78.89	$206.08	$315.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $156.99 / $267.62 / $329.03	Professional		$156.99	$267.62	$329.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.55 / $274.19 / $1,281.52	Facility		$136.55	$274.19	$1,281.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.98 / $145.35 / $298.55	Professional		$112.98	$145.35	$298.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $142.83	Professional		$50.00	$65.00	$142.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $78.89 / $207.47 / $315.32	Facility		$78.89	$207.47	$315.32
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $156.99 / $267.62 / $329.03	Professional		$156.99	$267.62	$329.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $274.19 / $421.95 / $733.70	Professional		$274.19	$421.95	$733.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $535.52 / $1,281.52	Facility		$135.00	$535.52	$1,281.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $135.00 / $1,380.26	Professional		$98.55	$135.00	$1,380.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $274.19 / $274.19 / $274.19	Professional		$274.19	$274.19	$274.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $218.93 / $274.19 / $274.19	Professional		$218.93	$274.19	$274.19
United Facility/Professional Professional Modifier Low / Median / High Price $95.68 / $136.78 / $274.19	Professional		$95.68	$136.78	$274.19