Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.37 / $139.72 / $336.20	Facility		$23.37	$139.72	$336.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $15.09 / $33.03	Professional		$13.89	$15.09	$33.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.42 / $44.04 / $46.59	Facility		$36.42	$44.04	$46.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $8.36 / $70.09	Professional		$8.36	$8.36	$70.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.56 / $45.99 / $47.80	Facility		$11.56	$45.99	$47.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $16.94 / $16.94	Professional		$16.94	$16.94	$16.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $54.76 / $84.00	Facility		$46.86	$54.76	$84.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $45.62 / $51.84	Professional		$19.41	$45.62	$51.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.09 / $15.09 / $20.32	Facility		$15.09	$15.09	$20.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.89 / $15.92 / $100.00	Facility		$13.89	$15.92	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $16.94 / $55.48	Professional		$9.94	$16.94	$55.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $33.22 / $85.00	Professional		$8.47	$33.22	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.09 / $15.09 / $20.32	Facility		$15.09	$15.09	$20.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $41.18 / $148.66	Professional		$20.70	$41.18	$148.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $100.00	Facility		$33.88	$33.88	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.98 / $11.11 / $16.47	Professional		$8.98	$11.11	$16.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $36.07 / $48.51	Professional		$36.07	$36.07	$48.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $67.54 / $92.49	Professional		$48.51	$67.54	$92.49
United Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $16.94 / $16.94	Facility		$16.94	$16.94	$16.94
United Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $13.94 / $41.94	Professional		$8.47	$13.94	$41.94