Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.29 / $514.60 / $716.16	Facility		$77.29	$514.60	$716.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.82 / $75.23 / $396.12	Professional		$52.82	$75.23	$396.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.47 / $167.47 / $177.13	Facility		$138.47	$167.47	$177.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.81 / $31.81 / $266.50	Professional		$31.81	$31.81	$266.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.95 / $174.91 / $181.79	Facility		$43.95	$174.91	$181.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.52 / $207.45 / $318.23	Facility		$177.52	$207.45	$318.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $173.45 / $197.10	Professional		$73.93	$173.45	$197.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.37 / $57.37 / $77.29	Facility		$57.37	$57.37	$77.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.37 / $61.98 / $334.00	Facility		$57.37	$61.98	$334.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $64.41 / $188.98	Professional		$38.65	$64.41	$188.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $64.41 / $126.28	Professional		$32.21	$64.41	$126.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $57.37 / $57.37 / $77.29	Facility		$57.37	$57.37	$77.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.97 / $153.49 / $218.90	Professional		$63.97	$153.49	$218.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $334.00	Facility		$128.82	$128.82	$334.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.14 / $42.46 / $62.99	Professional		$34.14	$42.46	$62.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $137.16 / $137.16 / $154.50	Professional		$137.16	$137.16	$154.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $154.50 / $154.50 / $351.68	Professional		$154.50	$154.50	$351.68
United Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $64.41 / $64.41	Facility		$64.41	$64.41	$64.41
United Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $54.38 / $245.23	Professional		$37.36	$54.38	$245.23