Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.35 / $48.97 / $176.03	Facility		$26.35	$48.97	$176.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $19.92 / $30.15	Professional		$16.91	$19.92	$30.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.21 / $57.10 / $60.39	Facility		$47.21	$57.10	$60.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $10.85 / $90.86	Professional		$10.85	$10.85	$90.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $59.66 / $62.00	Facility		$13.25	$59.66	$62.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.38 / $70.55 / $108.23	Facility		$60.38	$70.55	$108.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $59.14 / $67.20	Professional		$25.19	$59.14	$67.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $19.55 / $26.35	Facility		$19.55	$19.55	$26.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $19.76 / $122.00	Facility		$18.01	$19.76	$122.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $21.96 / $60.83	Professional		$12.89	$21.96	$60.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $43.06 / $85.00	Professional		$10.98	$43.06	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $19.55 / $26.35	Facility		$19.55	$19.55	$26.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $53.86 / $210.85	Professional		$26.85	$53.86	$210.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43.92 / $43.92 / $122.00	Facility		$43.92	$43.92	$122.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $14.53 / $21.43	Professional		$11.64	$14.53	$21.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $46.76 / $46.76 / $79.61	Professional		$46.76	$46.76	$79.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $79.61 / $87.56 / $119.90	Professional		$79.61	$87.56	$119.90
United Facility/Professional Professional Modifier Low / Median / High Price $10.98 / $18.55 / $54.36	Professional		$10.98	$18.55	$54.36