Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.89 / $72.36 / $107.58	Facility		$57.89	$72.36	$107.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.14 / $57.89 / $137.97	Professional		$37.14	$57.89	$137.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.72 / $125.42 / $132.66	Facility		$103.72	$125.42	$132.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $48.24 / $206.61	Professional		$19.30	$48.24	$206.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.90 / $117.90 / $122.53	Facility		$117.90	$117.90	$122.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.46 / $154.80 / $237.46	Facility		$132.46	$154.80	$237.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.11 / $129.90 / $147.61	Professional		$52.11	$129.90	$147.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $43.42 / $57.89 / $168.84	Facility		$43.42	$57.89	$168.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.42 / $57.89 / $168.84	Facility		$43.42	$57.89	$168.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $30.89 / $289.44	Professional		$21.71	$30.89	$289.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $65.00 / $85.00	Professional		$47.76	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $43.42 / $57.89 / $168.84	Facility		$43.42	$57.89	$168.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $96.85 / $125.77 / $161.19	Professional		$96.85	$125.77	$161.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $96.48 / $229.14 / $229.14	Facility		$96.48	$229.14	$229.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.18 / $241.20 / $289.44	Professional		$45.18	$241.20	$289.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $102.73	Professional		$36.11	$36.11	$102.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $139.91 / $263.39	Professional		$36.11	$139.91	$263.39
United Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $29.83 / $89.79	Professional		$20.60	$29.83	$89.79