Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.94 / $73.76 / $102.90	Facility		$25.94	$73.76	$102.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $34.04 / $64.34	Professional		$25.53	$34.04	$64.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $56.00 / $102.49	Professional		$33.29	$56.00	$102.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.14 / $35.78 / $42.23	Facility		$28.14	$35.78	$42.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.46 / $43.75 / $60.90	Professional		$36.46	$43.75	$60.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.53 / $122.15 / $162.35	Facility		$104.53	$122.15	$162.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $73.90 / $111.31	Professional		$34.96	$73.90	$111.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.94 / $34.04 / $59.32	Facility		$25.94	$34.04	$59.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.52 / $34.04 / $59.32	Facility		$25.52	$34.04	$59.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $82.20 / $251.93	Professional		$43.42	$82.20	$251.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.92 / $65.00 / $132.93	Professional		$39.92	$65.00	$132.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $25.94 / $34.04 / $60.09	Facility		$25.94	$34.04	$60.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.15 / $88.61 / $119.44	Professional		$51.15	$88.61	$119.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $56.78 / $134.74	Facility		$39.92	$56.78	$134.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.99 / $155.80 / $251.93	Professional		$41.99	$155.80	$251.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $61.58 / $81.62	Professional		$36.47	$61.58	$81.62
United Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $80.75 / $111.33	Professional		$43.42	$80.75	$111.33