Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.51 / $168.12 / $533.72	Facility		$38.51	$168.12	$533.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $12.57 / $46.16	Professional		$11.29	$12.57	$46.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.13 / $44.90 / $47.49	Facility		$37.13	$44.90	$47.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $6.91 / $70.45	Professional		$6.91	$6.91	$70.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.52 / $42.21 / $43.87	Facility		$11.52	$42.21	$43.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $17.27 / $17.27	Professional		$17.27	$17.27	$17.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.76 / $54.27 / $85.61	Facility		$47.76	$54.27	$85.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $46.51 / $52.85	Professional		$19.82	$46.51	$52.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $12.46 / $20.72	Facility		$11.53	$12.46	$20.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $22.11 / $209.48	Facility		$11.53	$22.11	$209.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $17.27 / $62.17	Professional		$10.02	$17.27	$62.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $25.91 / $85.00	Professional		$8.64	$25.91	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $12.46 / $20.72	Facility		$11.53	$12.46	$20.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $41.98 / $109.82	Professional		$20.14	$41.98	$109.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.65 / $34.54 / $123.64	Facility		$8.65	$34.54	$123.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $8.65 / $12.55	Professional		$8.49	$8.65	$12.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.78 / $36.78 / $71.12	Professional		$36.78	$36.78	$71.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.61 / $71.12 / $94.29	Professional		$51.61	$71.12	$94.29
United Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $20.72 / $20.72	Facility		$20.72	$20.72	$20.72
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.59 / $37.99	Professional		$9.33	$11.59	$37.99