Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.26 / $23.26 / $25.71	Facility		$23.26	$23.26	$25.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $27.57 / $152.13	Professional		$22.77	$27.57	$152.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.06 / $45.19 / $107.58	Professional		$27.06	$45.19	$107.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.72 / $30.33 / $35.58	Facility		$23.72	$30.33	$35.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $30.77 / $39.50	Professional		$25.81	$30.77	$39.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.89 / $86.35 / $114.76	Facility		$73.89	$86.35	$114.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $38.44 / $80.26	Professional		$24.70	$38.44	$80.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.26 / $27.50 / $50.16	Facility		$23.26	$27.50	$50.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $27.04 / $51.04	Facility		$23.16	$27.04	$51.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $55.37 / $178.40	Professional		$30.75	$55.37	$178.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $58.14 / $85.00	Professional		$21.51	$58.14	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.26 / $27.31 / $50.16	Facility		$23.26	$27.31	$50.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.82 / $65.47 / $85.17	Professional		$44.82	$65.47	$85.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $48.02 / $125.54	Facility		$33.67	$48.02	$125.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $131.00 / $178.40	Professional		$24.70	$131.00	$178.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $30.58 / $33.78	Professional		$30.58	$30.58	$33.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $52.08 / $57.61	Professional		$36.40	$52.08	$57.61
United Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $54.05 / $78.51	Professional		$31.08	$54.05	$78.51