Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.53 / $24.94 / $30.44	Professional		$19.53	$24.94	$30.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $47.54 / $117.46	Professional		$12.10	$47.54	$117.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.17 / $67.17 / $70.78	Facility		$67.17	$67.17	$70.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.08 / $92.14 / $130.78	Facility		$81.08	$92.14	$130.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $36.79 / $84.43	Professional		$27.52	$36.79	$84.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.83 / $30.44 / $96.00	Facility		$22.83	$30.44	$96.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.83 / $34.25 / $120.51	Facility		$22.83	$34.25	$120.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $31.19 / $2,796.55	Professional		$17.47	$31.19	$2,796.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.69 / $65.00 / $85.00	Professional		$12.69	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.83 / $30.44 / $96.00	Facility		$22.83	$30.44	$96.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $61.53 / $87.49	Professional		$46.80	$61.53	$87.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $50.74 / $120.51	Facility		$50.74	$50.74	$120.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $338.76 / $2,796.55	Professional		$36.79	$338.76	$2,796.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $21.98 / $54.03	Professional		$21.98	$21.98	$54.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $21.98 / $139.77	Professional		$21.98	$21.98	$139.77
United Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $25.37 / $80.30	Professional		$17.91	$25.37	$80.30