Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.95 / $298.95 / $298.95	Facility		$298.95	$298.95	$298.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.53 / $248.00 / $298.95	Professional		$110.53	$248.00	$298.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.94 / $331.94 / $406.90	Professional		$331.94	$331.94	$406.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $763.83 / $763.83 / $763.83	Facility		$763.83	$763.83	$763.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $959.69 / $1,121.48 / $1,274.41	Facility		$959.69	$1,121.48	$1,274.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $517.03 / $675.51	Professional		$128.49	$517.03	$675.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $260.67 / $298.95 / $356.93	Facility		$260.67	$298.95	$356.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $248.00 / $312.41 / $553.24	Facility		$248.00	$312.41	$553.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.71 / $178.07 / $332.60	Professional		$118.71	$178.07	$332.60
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 $224.22 / $298.95 / $356.93	Facility		$224.22	$298.95	$356.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.26 / $535.40 / $777.09	Professional		$295.26	$535.40	$777.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $724.57 / $724.57 / $1,389.96	Facility		$724.57	$724.57	$1,389.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $1,568.52 / $1,689.04	Professional		$128.49	$1,568.52	$1,689.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $356.93	Professional		$356.93	$356.93	$356.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $356.93 / $1,000,000.00	Professional		$356.93	$356.93	$1,000,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.57 / $170.63 / $294.13	Professional		$104.57	$170.63	$294.13