Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.44 / $276.44 / $276.44	Facility		$276.44	$276.44	$276.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.80 / $276.44 / $458.99	Professional		$181.80	$276.44	$458.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $547.98 / $602.78 / $997.32	Facility		$547.98	$602.78	$997.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.94 / $509.62 / $674.01	Professional		$473.94	$509.62	$674.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $394.22 / $1,172.68 / $1,172.68	Facility		$394.22	$1,172.68	$1,172.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.26 / $1,133.20 / $2,286.89	Facility		$366.26	$1,133.20	$2,286.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $794.06 / $1,037.09	Professional		$267.37	$794.06	$1,037.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $140.55 / $414.66 / $630.17	Facility		$140.55	$414.66	$630.17
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $313.77 / $451.79 / $657.58	Professional		$313.77	$451.79	$657.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $243.30 / $547.98 / $2,323.85	Facility		$243.30	$547.98	$2,323.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $246.85 / $328.04 / $596.69	Professional		$246.85	$328.04	$596.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $311.06	Professional		$50.00	$70.00	$311.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $140.55 / $414.66 / $630.17	Facility		$140.55	$414.66	$630.17
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $313.77 / $451.79 / $657.58	Professional		$313.77	$451.79	$657.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $547.98 / $832.75 / $1,306.82	Professional		$547.98	$832.75	$1,306.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $366.26 / $1,070.28 / $2,323.85	Facility		$366.26	$1,070.28	$2,323.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $366.26 / $2,880.26	Professional		$267.37	$366.26	$2,880.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $547.98 / $547.98 / $547.98	Professional		$547.98	$547.98	$547.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $547.98 / $547.98 / $547.98	Professional		$547.98	$547.98	$547.98
United Facility/Professional Professional Modifier Low / Median / High Price $182.26 / $327.63 / $469.99	Professional		$182.26	$327.63	$469.99