Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.53 / $52.53 / $52.53	Facility		$52.53	$52.53	$52.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $52.53 / $56.10	Professional		$51.00	$52.53	$56.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $79.05	Professional		$51.00	$51.00	$79.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.81 / $81.59 / $125.46	Facility		$69.81	$81.59	$125.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.09 / $122.73 / $173.95	Facility		$67.09	$122.73	$173.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $63.42 / $149.66	Professional		$51.00	$63.42	$149.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $52.53 / $78.27	Facility		$35.11	$52.53	$78.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $54.30 / $83.06	Facility		$35.11	$54.30	$83.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.76 / $53.76 / $119.25	Professional		$53.76	$53.76	$119.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $121.49	Professional		$50.00	$70.00	$121.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $52.53 / $78.27	Facility		$35.11	$52.53	$78.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $55.34 / $128.30	Professional		$51.00	$55.34	$128.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $85.00 / $231.33	Facility		$65.00	$85.00	$231.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $74.15 / $231.33	Professional		$51.00	$74.15	$231.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $71.59 / $92.72	Professional		$71.59	$71.59	$92.72
United Facility/Professional Professional Modifier Low / Median / High Price $49.79 / $51.00 / $66.30	Professional		$49.79	$51.00	$66.30