Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.98 / $263.98 / $263.98	Facility		$263.98	$263.98	$263.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.99 / $263.98 / $439.87	Professional		$217.99	$263.98	$439.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $523.28 / $575.61 / $952.37	Facility		$523.28	$575.61	$952.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $470.95 / $486.65 / $643.63	Professional		$470.95	$486.65	$643.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $376.44 / $1,119.82 / $1,119.82	Facility		$376.44	$1,119.82	$1,119.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.50 / $1,081.60 / $2,184.71	Facility		$338.50	$1,081.60	$2,184.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.11 / $758.44 / $990.36	Professional		$247.11	$758.44	$990.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $168.53 / $395.97 / $601.77	Facility		$168.53	$395.97	$601.77
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $299.62 / $523.28 / $627.94	Professional		$299.62	$523.28	$627.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.98 / $523.28 / $2,725.44	Facility		$263.98	$523.28	$2,725.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $243.30 / $349.64 / $575.61	Professional		$243.30	$349.64	$575.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $302.56	Professional		$50.00	$70.00	$302.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $168.53 / $403.89 / $601.77	Facility		$168.53	$403.89	$601.77
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $299.62 / $523.28 / $627.94	Professional		$299.62	$523.28	$627.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $523.28 / $805.31 / $1,566.78	Professional		$523.28	$805.31	$1,566.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $338.50 / $1,022.04 / $2,725.44	Facility		$338.50	$1,022.04	$2,725.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $247.11 / $338.50 / $3,474.60	Professional		$247.11	$338.50	$3,474.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $523.28 / $523.28 / $523.28	Professional		$523.28	$523.28	$523.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $523.28 / $523.28 / $523.28	Professional		$523.28	$523.28	$523.28
United Facility/Professional Professional Modifier Low / Median / High Price $208.47 / $344.98 / $463.95	Professional		$208.47	$344.98	$463.95