Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $18.94 / $25.74	Facility		$18.94	$18.94	$25.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.94 / $25.81 / $73.40	Professional		$18.94	$25.81	$73.40
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $8.72 / $11.85 / $18.04	Professional	52	$8.72	$11.85	$18.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.46 / $41.26 / $82.02	Professional		$24.46	$41.26	$82.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.69 / $18.69 / $25.23	Facility		$18.69	$18.69	$25.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $24.95 / $34.24	Professional		$24.95	$24.95	$34.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.76 / $114.76 / $139.28	Facility		$114.76	$114.76	$139.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $39.65 / $63.23	Professional		$17.68	$39.65	$63.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $28.80 / $53.12	Facility		$18.94	$28.80	$53.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $27.93 / $53.12	Facility		$18.89	$27.93	$53.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $39.40 / $126.34	Professional		$25.20	$39.40	$126.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $70.00 / $91.40	Professional		$58.40	$70.00	$91.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.94 / $28.32 / $53.25	Facility		$18.94	$28.32	$53.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.97 / $57.80 / $78.88	Professional		$29.97	$57.80	$78.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $118.98 / $213.00	Professional		$28.53	$118.98	$213.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.32 / $71.59 / $97.38	Professional		$41.32	$71.59	$97.38
United Facility/Professional Professional Modifier Low / Median / High Price $24.53 / $34.02 / $67.93	Professional		$24.53	$34.02	$67.93