Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.77 / $217.77 / $217.77	Facility		$217.77	$217.77	$217.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.99 / $217.77 / $377.33	Professional		$186.99	$217.77	$377.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $431.68 / $474.85 / $785.66	Facility		$431.68	$474.85	$785.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.51 / $401.46 / $530.96	Professional		$388.51	$401.46	$530.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $310.55 / $923.80 / $923.80	Facility		$310.55	$923.80	$923.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.26 / $892.11 / $1,801.24	Facility		$279.26	$892.11	$1,801.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.86 / $625.78 / $816.99	Professional		$203.86	$625.78	$816.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $139.03 / $326.66 / $496.43	Facility		$139.03	$326.66	$496.43
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $247.17 / $431.68 / $575.57	Professional		$247.17	$431.68	$575.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $217.77 / $431.68 / $2,318.80	Facility		$217.77	$431.68	$2,318.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $288.44 / $487.36	Professional		$200.71	$288.44	$487.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $291.32	Professional		$50.00	$70.00	$291.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $139.03 / $328.27 / $496.43	Facility		$139.03	$328.27	$496.43
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $247.17 / $431.68 / $575.57	Professional		$247.17	$431.68	$575.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $431.68 / $664.34 / $1,291.76	Professional		$431.68	$664.34	$1,291.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $279.26 / $843.12 / $2,318.80	Facility		$279.26	$843.12	$2,318.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $203.86 / $279.26 / $3,376.71	Professional		$203.86	$279.26	$3,376.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $431.68 / $431.68 / $431.68	Professional		$431.68	$431.68	$431.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $431.68 / $431.68 / $431.68	Professional		$431.68	$431.68	$431.68
United Facility/Professional Facility Modifier Low / Median / High Price $287.68 / $287.68 / $287.68	Facility		$287.68	$287.68	$287.68
United Facility/Professional Professional Modifier Low / Median / High Price $171.98 / $287.14 / $382.73	Professional		$171.98	$287.14	$382.73