Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.22 / $43.15 / $249.36	Facility		$23.22	$43.15	$249.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.87 / $18.38 / $76.08	Professional		$15.87	$18.38	$76.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.60 / $50.31 / $53.21	Facility		$41.60	$50.31	$53.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $9.56 / $80.06	Professional		$9.56	$9.56	$80.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.53 / $52.57 / $54.64	Facility		$15.53	$52.57	$54.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.17 / $62.13 / $95.31	Facility		$53.17	$62.13	$95.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.30 / $52.11 / $59.21	Professional		$22.30	$52.11	$59.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $17.23 / $23.22	Facility		$17.23	$17.23	$23.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.87 / $17.42 / $100.00	Facility		$15.87	$17.42	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $19.35 / $53.60	Professional		$11.36	$19.35	$53.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $37.94 / $85.00	Professional		$9.68	$37.94	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $17.23 / $23.22	Facility		$17.23	$17.23	$23.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $47.52 / $66.00	Professional		$23.66	$47.52	$66.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38.70 / $41.11 / $100.00	Facility		$38.70	$41.11	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $12.74 / $18.82	Professional		$10.26	$12.74	$18.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.21 / $41.21 / $143.91	Professional		$41.21	$41.21	$143.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $77.16 / $143.91 / $143.91	Professional		$77.16	$143.91	$143.91
United Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $19.35 / $19.35	Facility		$19.35	$19.35	$19.35
United Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $16.23 / $53.03	Professional		$9.68	$16.23	$53.03