Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $32.88 / $48.88	Facility		$26.30	$32.88	$48.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $26.30 / $78.84	Professional		$16.88	$26.30	$78.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.13 / $56.99 / $60.28	Facility		$47.13	$56.99	$60.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $21.92 / $93.89	Professional		$9.90	$21.92	$93.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.45 / $54.45 / $56.59	Facility		$54.45	$54.45	$56.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.38 / $70.55 / $108.23	Facility		$60.38	$70.55	$108.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $59.03 / $67.08	Professional		$25.19	$59.03	$67.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $28.06 / $76.72	Facility		$19.73	$28.06	$76.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $28.06 / $76.72	Facility		$19.73	$28.06	$76.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $17.54 / $180.90	Professional		$12.29	$17.54	$180.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $60.50 / $85.00	Professional		$21.92	$60.50	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $28.06 / $76.72	Facility		$19.73	$28.06	$76.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $57.40 / $85.27	Professional		$44.20	$57.40	$85.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $150.00 / $150.00	Facility		$50.00	$150.00	$150.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $109.60 / $180.90	Professional		$25.91	$109.60	$180.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $20.63 / $46.68	Professional		$20.63	$20.63	$46.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.63 / $63.70 / $119.68	Professional		$20.63	$63.70	$119.68
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $16.93 / $60.07	Professional		$11.77	$16.93	$60.07