Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.54 / $167.71 / $241.62	Facility		$78.54	$167.71	$241.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $16.64 / $37.15	Professional		$13.74	$16.64	$37.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.95 / $48.31 / $51.10	Facility		$39.95	$48.31	$51.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $13.76 / $79.59	Professional		$13.76	$13.76	$79.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.39 / $50.47 / $52.45	Facility		$12.39	$50.47	$52.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $18.57 / $18.57	Professional		$18.57	$18.57	$18.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.36 / $60.02 / $92.08	Facility		$51.36	$60.02	$92.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $50.03 / $56.85	Professional		$21.06	$50.03	$56.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $16.55 / $22.30	Facility		$16.55	$16.55	$22.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $88.04 / $204.00	Facility		$16.55	$88.04	$204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $18.57 / $46.02	Professional		$10.78	$18.57	$46.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $36.43 / $85.00	Professional		$9.28	$36.43	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $16.55 / $22.30	Facility		$16.55	$16.55	$22.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $45.14 / $164.71	Professional		$22.72	$45.14	$164.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $100.00	Facility		$37.15	$37.15	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $12.25 / $18.30	Professional		$9.85	$12.25	$18.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $31.72 / $39.57	Professional		$31.72	$31.72	$39.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.72 / $31.72 / $101.45	Professional		$31.72	$31.72	$101.45
United Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $15.58 / $50.92	Professional		$9.28	$15.58	$50.92