Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.32 / $73.08 / $121.51	Facility		$39.32	$73.08	$121.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $30.80 / $45.00	Professional		$25.23	$30.80	$45.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.45 / $85.20 / $90.12	Facility		$70.45	$85.20	$90.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $19.98 / $133.68	Professional		$13.11	$19.98	$133.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.07 / $80.08 / $83.24	Facility		$21.07	$80.08	$83.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.11 / $105.30 / $161.54	Facility		$90.11	$105.30	$161.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $88.24 / $100.28	Professional		$37.58	$88.24	$100.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $15.71 / $39.32	Facility		$15.71	$15.71	$39.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $29.49 / $155.66	Facility		$15.71	$29.49	$155.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $32.77 / $68.81	Professional		$19.01	$32.77	$68.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $49.16 / $85.00	Professional		$16.22	$49.16	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $15.71 / $39.32	Facility		$15.71	$15.71	$39.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.38 / $77.90 / $109.26	Professional		$38.38	$77.90	$109.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.54 / $65.54 / $155.66	Facility		$65.54	$65.54	$155.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $17.37 / $17.37	Professional		$15.02	$17.37	$17.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $24.77 / $69.79	Professional		$24.77	$24.77	$69.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $24.77 / $178.92	Professional		$24.77	$24.77	$178.92
United Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $26.22 / $68.81	Professional		$16.39	$26.22	$68.81