Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.38 / $243.38 / $243.38	Facility		$243.38	$243.38	$243.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.99 / $206.02 / $243.38	Professional		$89.99	$206.02	$243.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.23 / $270.23 / $331.24	Professional		$270.23	$270.23	$331.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $621.82 / $621.82 / $621.82	Facility		$621.82	$621.82	$621.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $781.27 / $912.98 / $1,037.47	Facility		$781.27	$912.98	$1,037.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $420.94 / $549.92	Professional		$104.60	$420.94	$549.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $213.57 / $243.38 / $290.57	Facility		$213.57	$243.38	$290.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $212.22 / $254.33 / $449.79	Facility		$212.22	$254.33	$449.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.64 / $144.96 / $270.76	Professional		$96.64	$144.96	$270.76
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 $212.22 / $243.38 / $290.57	Facility		$212.22	$243.38	$290.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $240.50 / $435.86 / $632.97	Professional		$240.50	$435.86	$632.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $589.86 / $589.86 / $1,154.65	Facility		$589.86	$589.86	$1,154.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.60 / $1,276.92 / $1,394.74	Professional		$104.60	$1,276.92	$1,394.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $290.57 / $290.57 / $290.57	Professional		$290.57	$290.57	$290.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $290.57 / $290.57 / $1,000,000.00	Professional		$290.57	$290.57	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.13 / $138.91 / $230.84	Professional		$85.13	$138.91	$230.84