Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.50 / $61.52 / $72.48	Facility		$32.50	$61.52	$72.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $33.18 / $64.70	Professional		$32.22	$33.18	$64.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.28 / $40.28 / $40.28	Facility		$40.28	$40.28	$40.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $41.01	Professional		$32.22	$32.22	$41.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.12 / $44.12 / $51.55	Facility		$44.12	$44.12	$51.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.06 / $52.72 / $75.34	Facility		$29.06	$52.72	$75.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $39.46 / $44.84	Professional		$32.78	$39.46	$44.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $31.55 / $71.29	Facility		$23.52	$31.55	$71.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $64.44 / $64.44	Professional		$11.76	$64.44	$64.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $31.55 / $151.38	Facility		$23.52	$31.55	$151.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.55 / $31.55 / $64.44	Professional		$31.55	$31.55	$64.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $65.00 / $85.00	Professional		$32.17	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $31.55 / $71.29	Facility		$23.52	$31.55	$71.29
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $64.44 / $64.44	Professional		$11.76	$64.44	$64.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $43.23 / $93.00	Professional		$32.21	$43.23	$93.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $32.22 / $251.10	Facility		$32.22	$32.22	$251.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $32.22	Professional		$32.22	$32.22	$32.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.64 / $45.24 / $53.95	Professional		$42.64	$45.24	$53.95
United Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $48.33	Professional		$32.22	$32.22	$48.33