Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.83 / $520.11 / $1,107.65	Facility		$261.83	$520.11	$1,107.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $51.22 / $280.00	Professional		$14.73	$51.22	$280.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $22.09	Professional		$14.73	$14.73	$22.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.16 / $23.42 / $23.57	Facility		$20.16	$23.42	$23.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $36.04 / $51.09	Facility		$14.73	$36.04	$51.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $25.14 / $28.56	Professional		$14.73	$25.14	$28.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $14.73 / $15.32	Facility		$13.58	$14.73	$15.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $15.29 / $68.38	Facility		$13.58	$15.29	$68.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $14.70 / $23.52	Professional		$14.70	$14.70	$23.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $65.00 / $85.00	Professional		$13.50	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $14.73 / $29.97	Facility		$13.58	$14.73	$29.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $16.19 / $48.63	Professional		$14.73	$16.19	$48.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $22.13 / $64.91	Professional		$14.73	$22.13	$64.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $20.68 / $21.92	Professional		$18.44	$20.68	$21.92
United Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $19.14	Professional		$14.73	$14.73	$19.14