Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.99 / $142.49 / $211.83	Facility		$113.99	$142.49	$211.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $90.24 / $144.38	Professional		$73.14	$90.24	$144.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.23 / $246.97 / $261.22	Facility		$204.23	$246.97	$261.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $94.99 / $406.85	Professional		$38.00	$94.99	$406.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $232.14 / $232.14 / $241.27	Facility		$232.14	$232.14	$241.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.32 / $305.38 / $468.46	Facility		$261.32	$305.38	$468.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $255.79 / $290.68	Professional		$109.45	$255.79	$290.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $73.14 / $113.99 / $332.47	Facility		$73.14	$113.99	$332.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.49 / $113.99 / $332.47	Facility		$85.49	$113.99	$332.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $56.99 / $292.93	Professional		$47.50	$56.99	$292.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $94.99	Professional		$50.00	$70.00	$94.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $73.14 / $113.99 / $332.47	Facility		$73.14	$113.99	$332.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $180.71 / $231.91 / $318.05	Professional		$180.71	$231.91	$318.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $230.13 / $451.20 / $451.20	Facility		$230.13	$451.20	$451.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $137.74 / $474.95 / $474.95	Professional		$137.74	$474.95	$474.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $202.29 / $202.29 / $202.29	Professional		$202.29	$202.29	$202.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $276.06 / $518.65 / $518.65	Professional		$276.06	$518.65	$518.65
United Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $56.99 / $233.98	Professional		$42.75	$56.99	$233.98