Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.97 / $171.97 / $171.97	Facility		$171.97	$171.97	$171.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.78 / $171.97 / $288.11	Professional		$142.78	$171.97	$288.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $340.91 / $375.00 / $620.46	Facility		$340.91	$375.00	$620.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.85 / $317.05 / $419.31	Professional		$294.85	$317.05	$419.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $245.24 / $729.55 / $729.55	Facility		$245.24	$729.55	$729.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.51 / $704.48 / $1,423.36	Facility		$220.51	$704.48	$1,423.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $494.06 / $645.20	Professional		$160.97	$494.06	$645.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $98.71 / $257.95 / $392.05	Facility		$98.71	$257.95	$392.05
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $195.18 / $332.74 / $409.09	Professional		$195.18	$332.74	$409.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $170.86 / $340.91 / $1,599.48	Facility		$170.86	$340.91	$1,599.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.96 / $227.78 / $372.78	Professional		$154.96	$227.78	$372.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $220.22	Professional		$50.00	$70.00	$220.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $98.71 / $257.95 / $392.05	Facility		$98.71	$257.95	$392.05
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $195.18 / $332.74 / $409.09	Professional		$195.18	$332.74	$409.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $340.91 / $524.62 / $917.38	Professional		$340.91	$524.62	$917.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $220.51 / $665.84 / $1,599.48	Facility		$220.51	$665.84	$1,599.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $220.51 / $1,710.73	Professional		$160.97	$220.51	$1,710.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $340.91 / $340.91 / $340.91	Professional		$340.91	$340.91	$340.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $340.91 / $340.91 / $340.91	Professional		$340.91	$340.91	$340.91
United Facility/Professional Professional Modifier Low / Median / High Price $127.42 / $203.86 / $302.25	Professional		$127.42	$203.86	$302.25