Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.04 / $110.06 / $163.62	Facility		$88.04	$110.06	$163.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $69.70 / $114.67	Professional		$56.49	$69.70	$114.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.75 / $190.76 / $201.77	Facility		$157.75	$190.76	$201.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $73.37 / $314.25	Professional		$30.18	$73.37	$314.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $179.31 / $179.31 / $186.36	Facility		$179.31	$179.31	$186.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.85 / $235.88 / $361.84	Facility		$201.85	$235.88	$361.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.25 / $197.57 / $224.51	Professional		$84.25	$197.57	$224.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $56.49 / $88.04 / $256.80	Facility		$56.49	$88.04	$256.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.03 / $88.04 / $256.80	Facility		$66.03	$88.04	$256.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $45.26 / $232.65	Professional		$37.72	$45.26	$232.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $56.49 / $88.04 / $256.80	Facility		$56.49	$88.04	$256.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $179.06 / $248.62	Professional		$143.75	$179.06	$248.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $148.76 / $348.51 / $348.51	Facility		$148.76	$348.51	$348.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.76 / $366.85 / $366.85	Professional		$69.76	$366.85	$366.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $156.24 / $156.24 / $156.24	Professional		$156.24	$156.24	$156.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $213.23 / $400.60 / $400.60	Professional		$213.23	$400.60	$400.60
United Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $45.26 / $136.57	Professional		$31.89	$45.26	$136.57