Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.59 / $72.59 / $72.59	Facility		$72.59	$72.59	$72.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $70.12 / $74.92	Professional		$31.13	$70.12	$74.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $80.59 / $98.79	Professional		$80.59	$80.59	$98.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.45 / $185.45 / $185.45	Facility		$185.45	$185.45	$185.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.49 / $271.68 / $308.73	Facility		$232.49	$271.68	$308.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $125.63 / $164.01	Professional		$36.19	$125.63	$164.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $63.31 / $72.59 / $86.66	Facility		$63.31	$72.59	$86.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.14 / $76.22 / $134.32	Facility		$63.14	$76.22	$134.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.34 / $43.24 / $80.76	Professional		$31.34	$43.24	$80.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $63.14 / $72.59 / $86.66	Facility		$63.14	$72.59	$86.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.25 / $129.99 / $219.11	Professional		$83.25	$129.99	$219.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $175.92 / $175.92 / $393.31	Facility		$175.92	$175.92	$393.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $380.84 / $449.23	Professional		$36.19	$380.84	$449.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $86.66 / $86.66 / $86.66	Professional		$86.66	$86.66	$86.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.33 / $44.33 / $86.66	Professional		$44.33	$44.33	$86.66
United Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $41.44 / $65.15	Professional		$29.45	$41.44	$65.15