Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.29 / $217.29 / $222.78	Facility		$217.29	$217.29	$222.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.26 / $247.18 / $899.00	Professional		$209.26	$247.18	$899.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $430.74 / $473.81 / $783.95	Facility		$430.74	$473.81	$783.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.66 / $400.59 / $529.80	Professional		$387.66	$400.59	$529.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $309.88 / $921.78 / $921.78	Facility		$309.88	$921.78	$921.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.44 / $890.24 / $1,798.44	Facility		$264.44	$890.24	$1,798.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $624.38 / $815.20	Professional		$193.04	$624.38	$815.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $132.55 / $323.76 / $495.35	Facility		$132.55	$323.76	$495.35
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $246.62 / $430.74 / $548.74	Professional		$246.62	$430.74	$548.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $217.29 / $430.74 / $2,238.26	Facility		$217.29	$430.74	$2,238.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $189.83 / $239.54 / $486.29	Professional		$189.83	$239.54	$486.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $142.36	Professional		$50.00	$70.00	$142.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $132.55 / $325.94 / $495.35	Facility		$132.55	$325.94	$495.35
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $246.62 / $430.74 / $548.74	Professional		$246.62	$430.74	$548.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $430.74 / $662.91 / $1,231.54	Professional		$430.74	$662.91	$1,231.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $264.44 / $841.28 / $2,238.26	Facility		$264.44	$841.28	$2,238.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $193.04 / $264.44 / $3,677.85	Professional		$193.04	$264.44	$3,677.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $430.74 / $430.74 / $430.74	Professional		$430.74	$430.74	$430.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $343.92 / $430.74 / $430.74	Professional		$343.92	$430.74	$430.74
United Facility/Professional Professional Modifier Low / Median / High Price $171.10 / $214.89 / $430.74	Professional		$171.10	$214.89	$430.74