Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.03 / $59.52 / $326.95	Facility		$32.03	$59.52	$326.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.29 / $25.09 / $32.03	Professional		$19.29	$25.09	$32.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.38 / $69.39 / $73.40	Facility		$57.38	$69.39	$73.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.68 / $10.68 / $108.87	Professional		$10.68	$10.68	$108.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.36 / $65.23 / $67.79	Facility		$17.36	$65.23	$67.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.89 / $86.35 / $132.46	Facility		$73.89	$86.35	$132.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $71.87 / $81.68	Professional		$30.98	$71.87	$81.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.87 / $17.14 / $32.03	Facility		$15.87	$17.14	$32.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.87 / $21.89 / $153.00	Facility		$15.87	$21.89	$153.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $21.35 / $52.27	Professional		$14.56	$21.35	$52.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $40.04 / $85.00	Professional		$13.35	$40.04	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.87 / $17.14 / $32.03	Facility		$15.87	$17.14	$32.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $65.47 / $89.79	Professional		$31.54	$65.47	$89.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53.38 / $53.38 / $153.00	Facility		$53.38	$53.38	$153.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $11.91 / $17.51	Professional		$11.76	$11.91	$17.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.84 / $56.84 / $66.38	Professional		$56.84	$56.84	$66.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $77.56 / $145.72	Professional		$66.38	$77.56	$145.72
United Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $18.00 / $49.68	Professional		$13.35	$18.00	$49.68