Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.47 / $130.47 / $130.47	Facility		$130.47	$130.47	$130.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $130.47 / $216.63	Professional		$95.82	$130.47	$216.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.63 / $284.49 / $470.71	Facility		$258.63	$284.49	$470.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.76 / $240.53 / $318.11	Professional		$232.76	$240.53	$318.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.06 / $553.47 / $553.47	Facility		$186.06	$553.47	$553.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.58 / $534.70 / $1,079.06	Facility		$175.58	$534.70	$1,079.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $375.00 / $489.48	Professional		$128.16	$375.00	$489.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $67.15 / $195.71 / $297.42	Facility		$67.15	$195.71	$297.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $148.08 / $219.88 / $310.36	Professional		$148.08	$219.88	$310.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.25 / $258.63 / $1,083.05	Facility		$116.25	$258.63	$1,083.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.18 / $156.69 / $281.62	Professional		$114.18	$156.69	$281.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $126.53	Professional		$50.00	$70.00	$126.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $67.15 / $195.71 / $297.42	Facility		$67.15	$195.71	$297.42
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $148.08 / $219.88 / $310.36	Professional		$148.08	$219.88	$310.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $258.63 / $398.03 / $624.29	Professional		$258.63	$398.03	$624.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $175.58 / $505.14 / $1,083.05	Facility		$175.58	$505.14	$1,083.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $175.58 / $1,269.72	Professional		$128.16	$175.58	$1,269.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $258.63 / $258.63 / $258.63	Professional		$258.63	$258.63	$258.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $258.63 / $258.63 / $258.63	Professional		$258.63	$258.63	$258.63
United Facility/Professional Professional Modifier Low / Median / High Price $86.69 / $138.69 / $253.70	Professional		$86.69	$138.69	$253.70