Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $19.50 / $23.85	Professional		$19.07	$19.50	$23.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.97 / $65.26 / $69.03	Facility		$53.97	$65.26	$69.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $52.84 / $100.40	Professional		$31.37	$52.84	$100.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.40 / $68.06 / $68.06	Facility		$38.40	$68.06	$68.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.39 / $81.08 / $124.38	Facility		$69.39	$81.08	$124.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.78 / $67.58 / $76.80	Professional		$29.78	$67.58	$76.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.34 / $32.63 / $87.85	Facility		$21.34	$32.63	$87.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.59 / $32.63 / $87.85	Facility		$22.59	$32.63	$87.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $16.71 / $69.53	Professional		$11.70	$16.71	$69.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $70.00 / $85.00	Professional		$55.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.34 / $32.63 / $87.85	Facility		$21.34	$32.63	$87.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.53 / $60.16 / $84.38	Professional		$44.53	$60.16	$84.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.20 / $119.23 / $119.23	Facility		$50.20	$119.23	$119.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.35 / $125.50 / $125.50	Professional		$63.35	$125.50	$125.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.45 / $53.45 / $53.45	Professional		$53.45	$53.45	$53.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $137.05 / $137.05	Professional		$72.95	$137.05	$137.05
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $15.60 / $46.72	Professional		$10.54	$15.60	$46.72