Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $25.43 / $32.46	Professional		$20.83	$25.43	$32.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $46.98 / $125.24	Professional		$10.82	$46.98	$125.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $71.62 / $71.62 / $75.47	Facility		$71.62	$71.62	$75.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.40 / $99.32 / $140.97	Facility		$87.40	$99.32	$140.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $30.21 / $90.01	Professional		$14.22	$30.21	$90.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $24.35 / $32.46 / $94.68	Facility		$24.35	$32.46	$94.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.35 / $32.46 / $94.68	Facility		$24.35	$32.46	$94.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $17.32 / $142.29	Professional		$11.89	$17.32	$142.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $65.00 / $85.00	Professional		$13.53	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $24.35 / $32.46 / $94.68	Facility		$24.35	$32.46	$94.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.82 / $64.79 / $95.39	Professional		$48.82	$64.79	$95.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.10 / $54.10 / $128.49	Facility		$54.10	$54.10	$128.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $135.25 / $142.29	Professional		$14.22	$135.25	$142.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $20.84 / $57.60	Professional		$20.84	$20.84	$57.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $99.33 / $147.69	Professional		$20.84	$99.33	$147.69
United Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $16.98 / $59.45	Professional		$11.89	$16.98	$59.45