Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.53 / $75.20 / $205.01	Facility		$27.53	$75.20	$205.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $20.50 / $27.53	Professional		$18.35	$20.50	$27.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.32 / $59.64 / $63.09	Facility		$49.32	$59.64	$63.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $11.33 / $94.91	Professional		$11.33	$11.33	$94.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $62.30 / $64.73	Facility		$15.65	$62.30	$64.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.08 / $73.70 / $113.08	Facility		$63.08	$73.70	$113.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $61.78 / $70.20	Professional		$26.43	$61.78	$70.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $20.44 / $27.53	Facility		$20.44	$20.44	$27.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $22.08 / $156.18	Facility		$20.44	$22.08	$156.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $22.94 / $63.54	Professional		$13.47	$22.94	$63.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $55.00 / $85.00	Professional		$11.47	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $20.44 / $27.53	Facility		$20.44	$20.44	$27.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $56.23 / $274.52	Professional		$28.04	$56.23	$274.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45.88 / $45.88 / $156.18	Facility		$45.88	$45.88	$156.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $15.19 / $22.48	Professional		$12.16	$15.19	$22.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $48.85 / $48.85 / $103.41	Professional		$48.85	$48.85	$103.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $102.85 / $103.41 / $125.25	Professional		$102.85	$103.41	$125.25
United Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $19.37 / $62.87	Professional		$11.59	$19.37	$62.87