Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.87 / $54.84 / $7,624.32	Facility		$43.87	$54.84	$7,624.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $34.72 / $221.97	Professional		$29.98	$34.72	$221.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.59 / $95.06 / $100.54	Facility		$78.59	$95.06	$100.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $157.21	Professional		$18.05	$18.05	$157.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $99.27 / $103.17	Facility		$29.35	$99.27	$103.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.93 / $117.94 / $180.92	Facility		$100.93	$117.94	$180.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $98.45 / $111.88	Professional		$42.13	$98.45	$111.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.90 / $50.29 / $54.33	Facility		$32.90	$50.29	$54.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $50.29 / $344.35	Facility		$29.98	$50.29	$344.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $43.87 / $128.06	Professional		$21.94	$43.87	$128.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $55.00 / $85.00	Professional		$18.28	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $32.90 / $50.29 / $54.33	Facility		$32.90	$50.29	$54.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $49.36 / $89.50 / $202.95	Professional		$49.36	$89.50	$202.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $73.12 / $73.12 / $344.35	Facility		$73.12	$73.12	$344.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $37.22 / $55.15	Professional		$19.38	$37.22	$55.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $58.09 / $58.09 / $77.86	Professional		$58.09	$58.09	$77.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $58.09 / $58.09 / $228.33	Professional		$58.09	$58.09	$228.33
United Facility/Professional Facility Modifier Low / Median / High Price $36.56 / $36.56 / $36.56	Facility		$36.56	$36.56	$36.56
United Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $36.56 / $119.72	Professional		$21.20	$36.56	$119.72