Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.33 / $41.33 / $41.33	Professional		$41.33	$41.33	$41.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $70.79 / $188.32	Professional		$17.59	$70.79	$188.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $116.41 / $116.41 / $122.68	Facility		$116.41	$116.41	$122.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.11 / $160.35 / $227.60	Facility		$141.11	$160.35	$227.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $48.50 / $146.33	Professional		$23.12	$48.50	$146.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $39.57 / $52.76 / $153.90	Facility		$39.57	$52.76	$153.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.57 / $52.76 / $153.90	Facility		$39.57	$52.76	$153.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $26.38 / $219.85	Professional		$16.64	$26.38	$219.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $65.00 / $85.00	Professional		$21.99	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $39.57 / $52.76 / $153.90	Facility		$39.57	$52.76	$153.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.04 / $104.90 / $154.44	Professional		$79.04	$104.90	$154.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $87.94 / $87.94 / $208.86	Facility		$87.94	$87.94	$208.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $219.85 / $219.85	Professional		$23.12	$219.85	$219.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $21.98 / $93.64	Professional		$21.98	$21.98	$93.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $76.66 / $146.13 / $240.08	Professional		$76.66	$146.13	$240.08
United Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $26.38 / $116.61	Professional		$17.62	$26.38	$116.61