Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $40.67 / $60.46	Facility		$32.53	$40.67	$60.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $25.48 / $32.53	Professional		$22.23	$25.48	$32.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.29 / $70.48 / $74.55	Facility		$58.29	$70.48	$74.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $10.84 / $110.60	Professional		$10.84	$10.84	$110.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.38 / $66.26 / $68.86	Facility		$14.38	$66.26	$68.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.79 / $87.40 / $134.08	Facility		$74.79	$87.40	$134.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $73.01 / $82.96	Professional		$31.39	$73.01	$82.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $12.19 / $32.53	Facility		$12.19	$12.19	$32.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $22.23 / $128.77	Facility		$12.19	$22.23	$128.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.76 / $24.63 / $51.72	Professional		$14.76	$24.63	$51.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $40.67 / $85.00	Professional		$13.42	$40.67	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $12.19 / $32.53	Facility		$12.19	$12.19	$32.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $64.79 / $90.87	Professional		$31.92	$64.79	$90.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.22 / $54.22 / $128.77	Facility		$54.22	$54.22	$128.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $11.82 / $11.82	Professional		$11.27	$11.82	$11.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $18.57 / $57.73	Professional		$18.57	$18.57	$57.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $142.33 / $148.02	Professional		$18.57	$142.33	$148.02
United Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $21.69 / $51.72	Professional		$13.56	$21.69	$51.72