Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $43.99 / $43.99	Facility		$43.99	$43.99	$43.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $39.00 / $50.81	Professional		$27.45	$39.00	$50.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $118.30 / $118.30	Facility		$65.00	$118.30	$118.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.35 / $60.45 / $87.60	Professional		$60.35	$60.45	$87.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.09 / $38.17 / $138.86	Facility		$5.09	$38.17	$138.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.15 / $43.15 / $172.11	Facility		$43.15	$43.15	$172.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $74.63 / $93.28	Professional		$43.15	$74.63	$93.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $46.16 / $59.84 / $81.36	Facility		$46.16	$59.84	$81.36
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $84.90 / $84.90 / $84.90	Professional		$84.90	$84.90	$84.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.16 / $81.36 / $309.02	Facility		$46.16	$81.36	$309.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $40.68 / $83.65	Professional		$29.89	$40.68	$83.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $50.00 / $65.00	Professional		$24.57	$50.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $43.99 / $65.98 / $81.36	Facility		$43.99	$65.98	$81.36
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $84.90 / $84.90 / $84.90	Professional		$84.90	$84.90	$84.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $15.78 / $20.48	Professional		$8.58	$15.78	$20.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43.15 / $126.24 / $309.02	Facility		$43.15	$126.24	$309.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $43.15 / $56.64	Professional		$43.15	$43.15	$56.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $68.26 / $68.26	Professional		$68.26	$68.26	$68.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $68.26 / $68.26	Professional		$68.26	$68.26	$68.26
United Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $37.25 / $79.04	Professional		$24.62	$37.25	$79.04