Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.47 / $147.47 / $147.47	Facility		$147.47	$147.47	$147.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $142.44 / $154.16	Professional		$72.70	$142.44	$154.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.74 / $163.74 / $200.70	Professional		$163.74	$163.74	$200.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $376.77 / $376.77 / $376.77	Facility		$376.77	$376.77	$376.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.09 / $552.84 / $628.23	Facility		$473.09	$552.84	$628.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $255.00 / $333.20	Professional		$84.51	$255.00	$333.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $143.75 / $149.65 / $176.06	Facility		$143.75	$149.65	$176.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.58 / $158.97 / $272.89	Facility		$128.58	$158.97	$272.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $87.83 / $164.06	Professional		$73.20	$87.83	$164.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $128.58 / $147.47 / $176.06	Facility		$128.58	$147.47	$176.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $176.06 / $270.94 / $511.25	Professional		$176.06	$270.94	$511.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $357.40 / $566.90 / $966.89	Facility		$357.40	$566.90	$966.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $773.69 / $1,792.13	Professional		$84.51	$773.69	$1,792.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $176.06 / $176.06 / $176.06	Professional		$176.06	$176.06	$176.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $176.06 / $176.06 / $1,000,000.00	Professional		$176.06	$176.06	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.77 / $87.83 / $146.38	Professional		$68.77	$87.83	$146.38