Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.71 / $138.24 / $273.89	Facility		$22.71	$138.24	$273.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $14.82 / $20.74	Professional		$13.50	$14.82	$20.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.39 / $42.80 / $45.27	Facility		$35.39	$42.80	$45.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $68.09	Professional		$8.13	$8.13	$68.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $44.70 / $46.46	Facility		$11.23	$44.70	$46.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.46 / $16.46 / $16.46	Professional		$16.46	$16.46	$16.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.06 / $52.65 / $80.77	Facility		$45.06	$52.65	$80.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $44.32 / $50.36	Professional		$19.00	$44.32	$50.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.67 / $14.67 / $19.75	Facility		$14.67	$14.67	$19.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.67 / $19.75 / $116.21	Facility		$14.67	$19.75	$116.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $13.91 / $45.59	Professional		$9.66	$13.91	$45.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $32.27 / $85.00	Professional		$8.23	$32.27	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.67 / $14.67 / $19.75	Facility		$14.67	$14.67	$19.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $40.39 / $139.47	Professional		$20.12	$40.39	$139.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.92 / $32.92 / $100.00	Facility		$32.92	$32.92	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $10.94 / $16.20	Professional		$8.72	$10.94	$16.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.27 / $26.27 / $35.04	Professional		$26.27	$26.27	$35.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.27 / $72.59 / $89.87	Professional		$26.27	$72.59	$89.87
United Facility/Professional Facility Modifier Low / Median / High Price $14.63 / $14.63 / $39.69	Facility		$14.63	$14.63	$39.69
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $13.55 / $40.77	Professional		$8.23	$13.55	$40.77