Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.24 / $36.56 / $54.35	Facility		$29.24	$36.56	$54.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $22.91 / $54.35	Professional		$19.98	$22.91	$54.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.40 / $63.36 / $67.02	Facility		$52.40	$63.36	$67.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $12.04 / $100.83	Professional		$12.04	$12.04	$100.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $66.18 / $68.78	Facility		$19.55	$66.18	$68.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.68 / $77.92 / $119.54	Facility		$66.68	$77.92	$119.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $65.63 / $74.58	Professional		$28.08	$65.63	$74.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.71 / $21.71 / $29.24	Facility		$21.71	$21.71	$29.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $21.93 / $144.75	Facility		$19.98	$21.93	$144.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $24.37 / $67.50	Professional		$14.30	$24.37	$67.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $47.78 / $85.00	Professional		$12.19	$47.78	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.71 / $21.71 / $29.24	Facility		$21.71	$21.71	$29.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.79 / $59.40 / $214.15	Professional		$29.79	$59.40	$214.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48.74 / $58.10 / $144.75	Facility		$48.74	$58.10	$144.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $16.00 / $23.78	Professional		$12.92	$16.00	$23.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.90 / $51.90 / $65.30	Professional		$51.90	$51.90	$65.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $65.30 / $115.55 / $133.06	Professional		$65.30	$115.55	$133.06
United Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $20.05 / $60.33	Professional		$12.19	$20.05	$60.33