Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $85.57 / $89.00	Facility		$45.26	$85.57	$89.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $45.00 / $236.60	Professional		$25.34	$45.00	$236.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $43.66 / $150.35	Professional		$23.85	$43.66	$150.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.56 / $27.64 / $32.25	Facility		$21.56	$27.64	$32.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.32 / $24.45 / $51.74	Professional		$22.32	$24.45	$51.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.38 / $70.55 / $108.23	Facility		$60.38	$70.55	$108.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $66.28 / $75.31	Professional		$35.58	$66.28	$75.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.34 / $33.35 / $67.89	Facility		$21.34	$33.35	$67.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.34 / $33.95 / $81.47	Facility		$21.34	$33.95	$81.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $47.84 / $151.44	Professional		$25.98	$47.84	$151.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $50.00 / $74.39	Professional		$20.70	$50.00	$74.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.34 / $33.95 / $67.89	Facility		$21.34	$33.95	$67.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.68 / $53.64 / $74.80	Professional		$35.68	$53.64	$74.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.52 / $54.13 / $102.96	Facility		$30.52	$54.13	$102.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $98.82 / $151.44	Professional		$35.58	$98.82	$151.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $84.58 / $125.48 / $157.02	Professional		$84.58	$125.48	$157.02
United Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $52.05 / $121.77	Professional		$26.04	$52.05	$121.77