Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.95 / $91.20 / $135.58	Facility		$72.95	$91.20	$135.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.16 / $57.15 / $72.95	Professional		$47.16	$57.15	$72.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.72 / $158.08 / $167.20	Facility		$130.72	$158.08	$167.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $24.32 / $243.20	Professional		$24.32	$24.32	$243.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.24 / $148.59 / $154.43	Facility		$36.24	$148.59	$154.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.61 / $195.86 / $300.45	Facility		$167.61	$195.86	$300.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.01 / $87.25 / $186.05	Professional		$60.01	$87.25	$186.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.40 / $30.40 / $72.95	Facility		$30.40	$30.40	$72.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.40 / $49.86 / $288.80	Facility		$30.40	$49.86	$288.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $36.47 / $109.44	Professional		$9.89	$36.47	$109.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $55.00 / $85.00	Professional		$30.10	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.40 / $30.40 / $72.95	Facility		$30.40	$30.40	$72.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.19 / $145.00 / $203.38	Professional		$52.19	$145.00	$203.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $121.60 / $121.60 / $288.80	Facility		$121.60	$121.60	$288.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $8.02 / $11.76	Professional		$7.84	$8.02	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $12.33 / $129.47	Professional		$12.33	$12.33	$129.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.33 / $12.33 / $331.97	Professional		$12.33	$12.33	$331.97
United Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $36.47 / $109.44	Professional		$10.13	$36.47	$109.44