Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.55 / $191.41 / $225.00	Facility		$153.55	$191.41	$225.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $216.70 / $330.45	Professional		$102.60	$216.70	$330.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.44 / $417.38 / $690.58	Facility		$379.44	$417.38	$690.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.88 / $352.88 / $466.71	Professional		$352.88	$352.88	$466.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $272.97 / $812.00 / $812.00	Facility		$272.97	$812.00	$812.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $237.10 / $784.25 / $1,584.31	Facility		$237.10	$784.25	$1,584.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $549.84 / $718.13	Professional		$173.08	$549.84	$718.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $122.21 / $287.12 / $436.36	Facility		$122.21	$287.12	$436.36
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $379.44 / $505.92	Professional		$217.26	$379.44	$505.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $191.41 / $379.44 / $2,002.53	Facility		$191.41	$379.44	$2,002.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $171.89 / $225.17 / $428.39	Professional		$171.89	$225.17	$428.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $132.85	Professional		$50.00	$70.00	$132.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $122.21 / $287.12 / $436.36	Facility		$122.21	$287.12	$436.36
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $379.44 / $505.92	Professional		$217.26	$379.44	$505.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $379.44 / $583.92 / $1,136.19	Professional		$379.44	$583.92	$1,136.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $237.10 / $741.10 / $2,002.53	Facility		$237.10	$741.10	$2,002.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $237.10 / $2,428.42	Professional		$173.08	$237.10	$2,428.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $379.44 / $379.44 / $379.44	Professional		$379.44	$379.44	$379.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $302.97 / $379.44 / $379.44	Professional		$302.97	$379.44	$379.44
United Facility/Professional Professional Modifier Low / Median / High Price $148.22 / $210.16 / $362.83	Professional		$148.22	$210.16	$362.83