Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.13 / $31.41 / $46.70	Facility		$25.13	$31.41	$46.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $19.89 / $107.00	Professional		$17.17	$19.89	$107.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.02 / $54.44 / $57.59	Facility		$45.02	$54.44	$57.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $9.30 / $85.42	Professional		$9.30	$9.30	$85.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.97 / $51.18 / $53.19	Facility		$13.97	$51.18	$53.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $67.39 / $103.38	Facility		$57.67	$67.39	$103.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $56.39 / $64.08	Professional		$24.37	$56.39	$64.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $16.77 / $25.13	Facility		$16.77	$16.77	$25.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $18.12 / $118.61	Facility		$16.77	$18.12	$118.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.15 / $20.66 / $55.25	Professional		$12.15	$20.66	$55.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $36.91 / $85.00	Professional		$10.47	$36.91	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $16.77 / $25.13	Facility		$16.77	$16.77	$25.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $51.48 / $210.85	Professional		$24.70	$51.48	$210.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $41.88 / $50.00 / $118.61	Facility		$41.88	$50.00	$118.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $12.41 / $18.30	Professional		$11.10	$12.41	$18.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.37 / $19.37 / $44.59	Professional		$19.37	$19.37	$44.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.37 / $60.86 / $114.33	Professional		$19.37	$60.86	$114.33
United Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $18.22 / $55.25	Professional		$11.31	$18.22	$55.25