Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.64 / $186.64 / $186.64	Facility		$186.64	$186.64	$186.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.97 / $186.64 / $312.72	Professional		$154.97	$186.64	$312.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $369.99 / $406.99 / $673.38	Facility		$369.99	$406.99	$673.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.99 / $344.09 / $455.08	Professional		$332.99	$344.09	$455.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $266.16 / $791.78 / $791.78	Facility		$266.16	$791.78	$791.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.35 / $816.49 / $1,543.72	Facility		$239.35	$816.49	$1,543.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $616.21 / $700.24	Professional		$174.73	$616.21	$700.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $106.46 / $279.95 / $425.49	Facility		$106.46	$279.95	$425.49
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $211.85 / $361.13 / $443.99	Professional		$211.85	$361.13	$443.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $184.28 / $369.99 / $1,722.99	Facility		$184.28	$369.99	$1,722.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.95 / $247.22 / $402.87	Professional		$168.95	$247.22	$402.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $235.84	Professional		$50.00	$70.00	$235.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $106.46 / $279.95 / $425.49	Facility		$106.46	$279.95	$425.49
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $211.85 / $361.13 / $443.99	Professional		$211.85	$361.13	$443.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $369.99 / $569.40 / $989.65	Professional		$369.99	$569.40	$989.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $239.35 / $722.64 / $1,722.99	Facility		$239.35	$722.64	$1,722.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $239.35 / $1,862.87	Professional		$174.73	$239.35	$1,862.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $369.99 / $369.99 / $369.99	Professional		$369.99	$369.99	$369.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $369.99 / $369.99 / $369.99	Professional		$369.99	$369.99	$369.99
United Facility/Professional Professional Modifier Low / Median / High Price $147.40 / $246.10 / $402.87	Professional		$147.40	$246.10	$402.87