Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $23.66 / $119.13	Professional		$16.21	$23.66	$119.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $41.27 / $103.37	Professional		$11.48	$41.27	$103.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.26 / $24.31 / $62.80	Facility		$20.26	$24.31	$62.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $20.26 / $26.36	Professional		$20.26	$20.26	$26.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.29 / $74.19 / $105.31	Facility		$65.29	$74.19	$105.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $53.66 / $125.94	Professional		$12.18	$53.66	$125.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $24.31 / $112.50	Facility		$18.23	$24.31	$112.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $27.35 / $112.50	Facility		$18.23	$27.35	$112.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $83.20 / $166.58	Professional		$20.26	$83.20	$166.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $58.40 / $85.00	Professional		$10.13	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $24.31 / $112.50	Facility		$18.23	$24.31	$112.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $49.69 / $70.67	Professional		$37.79	$49.69	$70.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $47.24 / $47.24 / $96.72	Facility		$47.24	$47.24	$96.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $141.15 / $166.58	Professional		$25.91	$141.15	$166.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.51 / $34.51 / $43.14	Professional		$34.51	$34.51	$43.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.51 / $34.51 / $133.26	Professional		$34.51	$34.51	$133.26
United Facility/Professional Professional Modifier Low / Median / High Price $16.21 / $20.88 / $73.34	Professional		$16.21	$20.88	$73.34