Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.77 / $52.22 / $77.63	Facility		$41.77	$52.22	$77.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $41.77 / $178.50	Professional		$26.80	$41.77	$178.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.84 / $90.51 / $95.73	Facility		$74.84	$90.51	$95.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $34.81 / $149.68	Professional		$18.20	$34.81	$149.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $94.52 / $94.52 / $99.60	Facility		$94.52	$94.52	$99.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.52 / $111.62 / $171.23	Facility		$95.52	$111.62	$171.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $101.31 / $115.84	Professional		$40.06	$101.31	$115.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.80 / $41.77 / $121.84	Facility		$26.80	$41.77	$121.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $41.77 / $136.44	Facility		$31.33	$41.77	$136.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $45.51 / $386.73	Professional		$27.85	$45.51	$386.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $66.25 / $96.08	Professional		$34.81	$66.25	$96.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $26.80 / $41.77 / $121.84	Facility		$26.80	$41.77	$121.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $91.16 / $123.49	Professional		$70.20	$91.16	$123.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $76.63 / $514.48 / $514.48	Facility		$76.63	$514.48	$514.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.19 / $174.05 / $386.73	Professional		$41.19	$174.05	$386.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $33.04 / $74.13	Professional		$33.04	$33.04	$74.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $101.16 / $190.06	Professional		$33.04	$101.16	$190.06
United Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $37.53 / $120.75	Professional		$27.85	$37.53	$120.75