Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.76 / $60.88 / $223.10	Facility		$32.76	$60.88	$223.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $25.66 / $32.76	Professional		$19.73	$25.66	$32.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $70.98 / $75.08	Facility		$58.70	$70.98	$75.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $10.92 / $111.36	Professional		$10.92	$10.92	$111.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.50 / $66.72 / $69.34	Facility		$17.50	$66.72	$69.34
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 / $73.51 / $83.54	Professional		$31.39	$73.51	$83.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $16.55 / $32.76	Facility		$15.32	$16.55	$32.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $22.39 / $129.68	Facility		$15.32	$22.39	$129.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.65 / $21.84 / $50.44	Professional		$13.65	$21.84	$50.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.65 / $40.95 / $85.00	Professional		$13.65	$40.95	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $16.55 / $32.76	Facility		$15.32	$16.55	$32.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $66.53 / $148.66	Professional		$31.92	$66.53	$148.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.60 / $54.60 / $129.68	Facility		$54.60	$54.60	$129.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $11.49 / $16.73	Professional		$11.27	$11.49	$16.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $17.69 / $58.14	Professional		$17.69	$17.69	$58.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $68.53 / $149.06	Professional		$17.69	$68.53	$149.06
United Facility/Professional Facility Modifier Low / Median / High Price $12.97 / $12.97 / $21.84	Facility		$12.97	$12.97	$21.84
United Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $21.84 / $50.82	Professional		$12.55	$21.84	$50.82