Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Facility		$56.42	$56.42	$56.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.42 / $56.42 / $101.46	Professional		$53.42	$56.42	$101.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.85 / $123.04 / $203.57	Facility		$111.85	$123.04	$203.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.66 / $104.02 / $137.57	Professional		$100.66	$104.02	$137.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $239.36 / $239.36	Facility		$80.45	$239.36	$239.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $247.45 / $467.45	Facility		$66.72	$247.45	$467.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $162.19 / $211.69	Professional		$48.71	$162.19	$211.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.18 / $84.63 / $128.63	Facility		$32.18	$84.63	$128.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $64.04 / $109.17 / $134.22	Professional		$64.04	$109.17	$134.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.71 / $111.85 / $520.92	Facility		$55.71	$111.85	$520.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.85 / $58.59 / $121.79	Professional		$48.85	$58.59	$121.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $58.40 / $85.00	Professional		$29.38	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $32.18 / $84.63 / $128.63	Facility		$32.18	$84.63	$128.63
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $64.04 / $109.17 / $134.22	Professional		$64.04	$109.17	$134.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $111.85 / $172.13 / $299.10	Professional		$111.85	$172.13	$299.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $218.46 / $520.92	Facility		$66.72	$218.46	$520.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $66.72 / $563.39	Professional		$48.71	$66.72	$563.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $111.85 / $111.85 / $111.85	Professional		$111.85	$111.85	$111.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $89.30 / $111.85 / $111.85	Professional		$89.30	$111.85	$111.85
United Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $55.80 / $99.17	Professional		$39.28	$55.80	$99.17