Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.24 / $55.24 / $55.24	Facility		$55.24	$55.24	$55.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $47.91 / $62.33	Professional		$33.21	$47.91	$62.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.80 / $143.41 / $143.41	Facility		$78.80	$143.41	$143.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $73.30 / $106.38	Professional		$73.28	$73.30	$106.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.02 / $52.58 / $168.67	Facility		$7.02	$52.58	$168.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.69 / $48.69 / $200.05	Facility		$48.69	$48.69	$200.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.69 / $86.63 / $108.28	Professional		$48.69	$86.63	$108.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.95 / $77.94 / $112.04	Facility		$30.95	$77.94	$112.04
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $64.73 / $116.92	Professional		$64.73	$64.73	$116.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.95 / $114.86 / $349.46	Facility		$30.95	$114.86	$349.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.82 / $53.17 / $96.57	Professional		$38.82	$53.17	$96.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.88 / $53.13 / $65.00	Professional		$38.88	$53.13	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.95 / $77.94 / $112.04	Facility		$30.95	$77.94	$112.04
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $64.73 / $116.92	Professional		$64.73	$64.73	$116.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $16.55 / $21.51	Professional		$10.40	$16.55	$21.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48.69 / $153.04 / $349.46	Facility		$48.69	$153.04	$349.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.69 / $48.69 / $58.12	Professional		$48.69	$48.69	$58.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $88.73 / $88.73 / $88.73	Professional		$88.73	$88.73	$88.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $88.73 / $88.73 / $88.73	Professional		$88.73	$88.73	$88.73
United Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $52.57 / $91.92	Professional		$32.47	$52.57	$91.92