Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.61 / $352.61 / $352.61	Facility		$352.61	$352.61	$352.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.01 / $352.61 / $585.47	Professional		$256.01	$352.61	$585.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $698.99 / $768.89 / $1,272.16	Facility		$698.99	$768.89	$1,272.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $629.09 / $650.05 / $859.75	Professional		$629.09	$650.05	$859.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $502.86 / $1,495.84 / $1,495.84	Facility		$502.86	$1,495.84	$1,495.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $452.18 / $1,444.65 / $2,918.09	Facility		$452.18	$1,444.65	$2,918.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.09 / $1,012.97 / $1,322.90	Professional		$330.09	$1,012.97	$1,322.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $197.93 / $528.91 / $803.84	Facility		$197.93	$528.91	$803.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $400.23 / $698.99 / $838.79	Professional		$400.23	$698.99	$838.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $342.62 / $698.99 / $3,241.88	Facility		$342.62	$698.99	$3,241.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $314.86 / $461.84 / $766.49	Professional		$314.86	$461.84	$766.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $414.74	Professional		$50.00	$70.00	$414.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $197.93 / $539.49 / $803.84	Facility		$197.93	$539.49	$803.84
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $400.23 / $698.99 / $838.79	Professional		$400.23	$698.99	$838.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $698.99 / $1,075.73 / $1,839.78	Professional		$698.99	$1,075.73	$1,839.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $452.18 / $1,365.22 / $3,241.88	Facility		$452.18	$1,365.22	$3,241.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $330.09 / $452.18 / $4,227.08	Professional		$330.09	$452.18	$4,227.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $698.99 / $698.99 / $698.99	Professional		$698.99	$698.99	$698.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $698.99 / $698.99 / $698.99	Professional		$698.99	$698.99	$698.99
United Facility/Professional Facility Modifier Low / Median / High Price $983.28 / $983.28 / $983.28	Facility		$983.28	$983.28	$983.28
United Facility/Professional Professional Modifier Low / Median / High Price $240.06 / $419.39 / $619.74	Professional		$240.06	$419.39	$619.74