Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $30.81 / $88.36	Facility		$23.10	$30.81	$88.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.10 / $29.67 / $42.81	Professional		$23.10	$29.67	$42.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $41.17 / $91.34	Professional		$30.17	$41.17	$91.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $29.67 / $41.41	Facility		$22.52	$29.67	$41.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.41 / $37.79 / $71.03	Professional		$28.41	$37.79	$71.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.11 / $105.30 / $161.54	Facility		$90.11	$105.30	$161.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $78.20 / $96.40	Professional		$45.67	$78.20	$96.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.55 / $33.93 / $50.60	Facility		$27.55	$33.93	$50.60
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $28.53 / $28.53	Professional		$28.53	$28.53	$28.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.75 / $34.69 / $51.37	Facility		$26.75	$34.69	$51.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $49.37 / $742.70	Professional		$28.64	$49.37	$742.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $63.23 / $92.17	Professional		$50.00	$63.23	$92.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $27.55 / $33.93 / $50.60	Facility		$27.55	$33.93	$50.60
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $28.53 / $28.53	Professional		$28.53	$28.53	$28.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $61.20 / $99.33	Professional		$36.69	$61.20	$99.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.08 / $60.08 / $60.08	Facility		$60.08	$60.08	$60.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $89.95 / $163.00 / $742.70	Professional		$89.95	$163.00	$742.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $42.55	Professional		$38.90	$38.90	$42.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.19 / $110.64 / $120.03	Professional		$40.19	$110.64	$120.03
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $45.31 / $91.55	Professional		$28.18	$45.31	$91.55