Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $170.85 / $552.20	Facility		$30.64	$170.85	$552.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $22.25 / $30.64	Professional		$20.93	$22.25	$30.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.89 / $66.38 / $70.20	Facility		$54.89	$66.38	$70.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $12.61 / $105.64	Professional		$12.61	$12.61	$105.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.42 / $69.33 / $72.06	Facility		$17.42	$69.33	$72.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.29 / $82.14 / $126.00	Facility		$70.29	$82.14	$126.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $68.75 / $78.13	Professional		$29.32	$68.75	$78.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $22.73 / $30.64	Facility		$22.73	$22.73	$30.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.93 / $24.00 / $169.40	Facility		$20.93	$24.00	$169.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $25.53 / $70.72	Professional		$14.98	$25.53	$70.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $50.05 / $85.00	Professional		$12.77	$50.05	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $22.73 / $30.64	Facility		$22.73	$22.73	$30.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.21 / $62.57 / $247.30	Professional		$31.21	$62.57	$247.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $51.06 / $51.06 / $169.40	Facility		$51.06	$51.06	$169.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $16.82 / $25.09	Professional		$13.53	$16.82	$25.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $54.37 / $54.37 / $57.19	Professional		$54.37	$54.37	$57.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.19 / $74.20 / $139.38	Professional		$57.19	$74.20	$139.38
United Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $21.06 / $63.20	Professional		$12.77	$21.06	$63.20