Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.36 / $142.66 / $168.05	Facility		$75.36	$142.66	$168.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $78.97 / $5,400.00	Professional		$75.90	$78.97	$5,400.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.89 / $140.43 / $169.28	Facility		$94.89	$140.43	$169.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $96.40	Professional		$75.91	$75.91	$96.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.92 / $103.92 / $121.46	Facility		$103.92	$103.92	$121.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.91 / $172.71 / $246.88	Facility		$75.91	$172.71	$246.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $103.36 / $117.45	Professional		$75.91	$103.36	$117.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $73.16 / $167.51	Facility		$41.40	$73.16	$167.51
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $109.74 / $151.82 / $151.82	Professional		$109.74	$151.82	$151.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $73.16 / $161.10	Facility		$41.40	$73.16	$161.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $73.16 / $151.82	Professional		$73.16	$73.16	$151.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $73.38 / $85.00	Professional		$65.00	$73.38	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $73.16 / $167.51	Facility		$41.40	$73.16	$167.51
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $109.74 / $151.82 / $151.82	Professional		$109.74	$151.82	$151.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $78.77 / $219.00	Professional		$75.91	$78.77	$219.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $366.90 / $366.90 / $366.90	Facility		$366.90	$366.90	$366.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $75.91	Professional		$75.91	$75.91	$75.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $106.58 / $106.58	Professional		$56.33	$106.58	$106.58
United Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $75.91 / $103.94	Professional		$75.91	$75.91	$103.94