Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.14 / $72.73 / $506.99	Facility		$39.14	$72.73	$506.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $34.77 / $204.53	Professional		$17.29	$34.77	$204.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.13 / $84.81 / $89.71	Facility		$70.13	$84.81	$89.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $19.89 / $134.97	Professional		$16.11	$19.89	$134.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $88.57 / $92.05	Facility		$21.76	$88.57	$92.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.11 / $105.30 / $161.54	Facility		$90.11	$105.30	$161.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $87.84 / $99.81	Professional		$37.58	$87.84	$99.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.57 / $27.57 / $39.14	Facility		$27.57	$27.57	$39.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.75 / $29.36 / $226.44	Facility		$26.75	$29.36	$226.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $32.61 / $90.36	Professional		$19.14	$32.61	$90.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $55.00 / $85.00	Professional		$16.30	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $27.57 / $27.57 / $39.14	Facility		$27.57	$27.57	$39.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $79.98 / $154.34	Professional		$39.86	$79.98	$154.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.23 / $65.23 / $226.44	Facility		$65.23	$65.23	$226.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $33.64 / $53.06	Professional		$17.29	$33.64	$53.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $42.44 / $69.47	Professional		$42.44	$42.44	$69.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $130.02 / $178.11	Professional		$42.44	$130.02	$178.11
United Facility/Professional Professional Modifier Low / Median / High Price $18.92 / $27.34 / $80.73	Professional		$18.92	$27.34	$80.73