Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.70 / $212.97 / $322.74	Facility		$60.70	$212.97	$322.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $31.28 / $162.00	Professional		$22.32	$31.28	$162.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.52 / $70.77 / $74.86	Facility		$58.52	$70.77	$74.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $13.23 / $112.62	Professional		$13.23	$13.23	$112.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.71 / $72.75 / $75.62	Facility		$18.71	$72.75	$75.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.22 / $27.22 / $27.22	Professional		$27.22	$27.22	$27.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.79 / $87.40 / $134.08	Facility		$74.79	$87.40	$134.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.39 / $73.29 / $83.29	Professional		$31.39	$73.29	$83.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $18.64 / $32.65	Facility		$17.26	$18.64	$32.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $138.55 / $330.07	Facility		$17.26	$138.55	$330.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $27.22 / $68.12	Professional		$15.79	$27.22	$68.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $55.00 / $85.00	Professional		$13.61	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $18.64 / $32.65	Facility		$17.26	$18.64	$32.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.75 / $66.53 / $92.40	Professional		$32.75	$66.53	$92.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.44 / $54.44 / $129.30	Facility		$54.44	$54.44	$129.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $12.90 / $17.64	Professional		$12.90	$12.90	$17.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $57.97 / $270.17	Professional		$57.97	$57.97	$270.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $106.80 / $148.62 / $270.17	Professional		$106.80	$148.62	$270.17
United Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $23.68 / $59.54	Professional		$13.88	$23.68	$59.54