Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $149.40 / $445.94	Facility		$24.00	$149.40	$445.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $19.39 / $30.52	Professional		$16.44	$19.39	$30.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.79 / $57.80 / $61.13	Facility		$47.79	$57.80	$61.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $10.98 / $91.98	Professional		$10.98	$10.98	$91.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $60.39 / $62.76	Facility		$15.17	$60.39	$62.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $22.23 / $22.23	Professional		$22.23	$22.23	$22.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.28 / $71.61 / $109.85	Facility		$61.28	$71.61	$109.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.61 / $59.86 / $68.03	Professional		$25.61	$59.86	$68.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $19.80 / $26.68	Facility		$19.80	$19.80	$26.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $43.85 / $140.97	Facility		$19.80	$43.85	$140.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $22.23 / $80.03	Professional		$13.05	$22.23	$80.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $43.58 / $85.00	Professional		$11.12	$43.58	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $19.80 / $26.68	Facility		$19.80	$19.80	$26.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.18 / $54.65 / $116.40	Professional		$27.18	$54.65	$116.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $44.46 / $44.46 / $106.14	Facility		$44.46	$44.46	$106.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $14.70 / $21.69	Professional		$11.78	$14.70	$21.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $35.74 / $47.34	Professional		$35.74	$35.74	$47.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $88.64 / $121.38	Professional		$35.74	$88.64	$121.38
United Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $18.34 / $60.92	Professional		$11.12	$18.34	$60.92