Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.85 / $116.48 / $162.49	Facility		$60.85	$116.48	$162.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $59.38 / $148.18	Professional		$44.17	$59.38	$148.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.46 / $89.16 / $154.43	Professional		$56.46	$89.16	$154.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.57 / $56.97 / $66.89	Facility		$44.57	$56.97	$66.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.05 / $95.72	Professional		$57.54	$69.05	$95.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.71 / $194.81 / $258.92	Facility		$166.71	$194.81	$258.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.47 / $118.15 / $176.65	Professional		$54.47	$118.15	$176.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.77 / $58.91 / $111.70	Facility		$41.77	$58.91	$111.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.61 / $59.00 / $111.70	Facility		$41.61	$59.00	$111.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.77 / $125.15 / $402.01	Professional		$66.77	$125.15	$402.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $116.39 / $148.79	Professional		$58.40	$116.39	$148.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $41.77 / $59.00 / $111.70	Facility		$41.77	$59.00	$111.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $140.63 / $187.69	Professional		$88.00	$140.63	$187.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $63.30 / $90.78 / $239.43	Facility		$63.30	$90.78	$239.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $70.05 / $268.74 / $402.01	Professional		$70.05	$268.74	$402.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $81.87 / $81.87 / $106.75	Professional		$81.87	$81.87	$106.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $84.36 / $140.69 / $185.13	Professional		$84.36	$140.69	$185.13
United Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $102.50 / $170.62	Professional		$66.64	$102.50	$170.62