Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.52 / $273.89 / $460.60	Facility		$59.52	$273.89	$460.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $49.54 / $71.18	Professional		$17.14	$49.54	$71.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $61.74 / $196.82	Professional		$18.77	$61.74	$196.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.80 / $21.01 / $25.49	Facility		$16.80	$21.01	$25.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $83.44 / $103.63	Professional		$69.56	$83.44	$103.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.85 / $235.88 / $313.50	Facility		$201.85	$235.88	$313.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.47 / $77.78 / $212.73	Professional		$27.47	$77.78	$212.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $51.19 / $89.19	Facility		$17.70	$51.19	$89.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $51.19 / $91.37	Facility		$17.28	$51.19	$91.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.72 / $115.39 / $410.48	Professional		$71.72	$115.39	$410.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.44 / $70.00 / $138.97	Professional		$41.44	$70.00	$138.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $51.19 / $91.37	Facility		$17.70	$51.19	$91.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $85.84 / $246.27	Professional		$34.45	$85.84	$246.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.89 / $43.00 / $80.22	Facility		$28.89	$43.00	$80.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $115.39 / $410.48	Professional		$34.40	$115.39	$410.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $92.38 / $378.11	Professional		$44.36	$92.38	$378.11
United Facility/Professional Professional Modifier Low / Median / High Price $71.51 / $132.84 / $250.77	Professional		$71.51	$132.84	$250.77