Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.37 / $252.37 / $252.37	Facility		$252.37	$252.37	$252.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.39 / $252.37 / $414.76	Professional		$218.39	$252.37	$414.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $500.28 / $550.30 / $910.51	Facility		$500.28	$550.30	$910.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.26 / $465.26 / $615.34	Professional		$465.26	$465.26	$615.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $359.89 / $1,070.59 / $1,070.59	Facility		$359.89	$1,070.59	$1,070.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $352.55 / $1,034.69 / $2,088.15	Facility		$352.55	$1,034.69	$2,088.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $725.16 / $946.81	Professional		$257.36	$725.16	$946.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $148.11 / $378.56 / $575.32	Facility		$148.11	$378.56	$575.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $286.45 / $500.28 / $613.16	Professional		$286.45	$500.28	$613.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $252.37 / $518.52 / $2,469.31	Facility		$252.37	$518.52	$2,469.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $212.12 / $267.66 / $564.83	Professional		$212.12	$267.66	$564.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $358.50	Professional		$50.00	$70.00	$358.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $148.11 / $378.56 / $575.32	Facility		$148.11	$378.56	$575.32
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $286.45 / $500.28 / $613.16	Professional		$286.45	$500.28	$613.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $500.28 / $769.89 / $1,377.08	Professional		$500.28	$769.89	$1,377.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $352.55 / $977.10 / $2,469.31	Facility		$352.55	$977.10	$2,469.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $257.36 / $352.55 / $3,369.92	Professional		$257.36	$352.55	$3,369.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $500.28 / $500.28 / $500.28	Professional		$500.28	$500.28	$500.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $500.28 / $500.28 / $500.28	Professional		$500.28	$500.28	$500.28
United Facility/Professional Professional Modifier Low / Median / High Price $179.64 / $249.58 / $443.55	Professional		$179.64	$249.58	$443.55