Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.47 / $58.87 / $283.58	Facility		$46.47	$58.87	$283.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.08 / $69.26 / $115.17	Professional		$52.08	$69.26	$115.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $68.04 / $214.69	Professional		$34.22	$68.04	$214.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.29 / $63.03 / $88.27	Facility		$47.29	$63.03	$88.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $84.47 / $158.44	Professional		$63.38	$84.47	$158.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.04 / $223.24 / $342.46	Facility		$191.04	$223.24	$342.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $148.97 / $270.66	Professional		$38.00	$148.97	$270.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $61.97 / $71.78 / $107.39	Facility		$61.97	$71.78	$107.39
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $61.88 / $61.88 / $61.88	Professional		$61.88	$61.88	$61.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.97 / $71.78 / $107.39	Facility		$61.97	$71.78	$107.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $141.88 / $443.16	Professional		$54.67	$141.88	$443.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $86.08 / $203.86	Professional		$59.53	$86.08	$203.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $61.97 / $71.78 / $107.39	Facility		$61.97	$71.78	$107.39
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $61.88 / $61.88 / $61.88	Professional		$61.88	$61.88	$61.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $80.93 / $135.00 / $215.04	Professional		$80.93	$135.00	$215.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.93 / $322.10 / $443.16	Professional		$47.93	$322.10	$443.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $90.47 / $176.19 / $197.93	Professional		$90.47	$176.19	$197.93
United Facility/Professional Professional Modifier Low / Median / High Price $48.74 / $91.13 / $243.85	Professional		$48.74	$91.13	$243.85