Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.68 / $78.73 / $78.73	Professional		$68.68	$78.73	$78.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $45.77 / $294.83	Professional		$45.77	$45.77	$294.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.76 / $83.76 / $127.49	Facility		$83.76	$83.76	$127.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.69 / $269.58 / $413.54	Facility		$230.69	$269.58	$413.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.23 / $225.54 / $256.30	Professional		$96.23	$225.54	$256.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $43.55 / $75.38 / $107.21	Facility		$43.55	$75.38	$107.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.55 / $83.76 / $397.86	Facility		$43.55	$83.76	$397.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $83.76 / $175.90	Professional		$48.58	$83.76	$175.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.88 / $55.00 / $85.00	Professional		$41.88	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $43.55 / $75.38 / $107.21	Facility		$43.55	$75.38	$107.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $98.42 / $199.77 / $284.89	Professional		$98.42	$199.77	$284.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $167.52 / $167.52 / $397.86	Facility		$167.52	$167.52	$397.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $178.37 / $178.37 / $178.37	Professional		$178.37	$178.37	$178.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $439.74 / $457.33 / $457.33	Professional		$439.74	$457.33	$457.33
United Facility/Professional Professional Modifier Low / Median / High Price $41.88 / $67.01 / $175.90	Professional		$41.88	$67.01	$175.90