Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $50.73 / $143.75	Facility		$27.30	$50.73	$143.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $27.30 / $41.53	Professional		$17.52	$27.30	$41.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.91 / $59.15 / $62.56	Facility		$48.91	$59.15	$62.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $22.75 / $97.45	Professional		$9.90	$22.75	$97.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.60 / $55.60 / $57.79	Facility		$55.60	$55.60	$57.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.18 / $72.66 / $111.46	Facility		$62.18	$72.66	$111.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $61.26 / $69.61	Professional		$26.02	$61.26	$69.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.48 / $29.12 / $79.63	Facility		$20.48	$29.12	$79.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.48 / $29.12 / $85.57	Facility		$20.48	$29.12	$85.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $17.55 / $176.00	Professional		$12.29	$17.55	$176.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $62.79 / $85.00	Professional		$22.75	$62.79	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $20.48 / $29.12 / $79.63	Facility		$20.48	$29.12	$79.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $59.09 / $85.27	Professional		$45.50	$59.09	$85.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45.50 / $108.06 / $108.06	Facility		$45.50	$108.06	$108.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.20 / $113.75 / $176.00	Professional		$27.20	$113.75	$176.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $20.63 / $48.45	Professional		$20.63	$20.63	$48.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $79.95 / $124.22	Professional		$20.63	$79.95	$124.22
United Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $27.30 / $27.30	Facility		$27.30	$27.30	$27.30
United Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $16.54 / $58.84	Professional		$11.57	$16.54	$58.84