Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.20 / $61.20 / $61.20	Facility		$61.20	$61.20	$61.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $60.88 / $78.98	Professional		$30.17	$60.88	$78.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.76 / $67.95 / $83.29	Professional		$65.76	$67.95	$83.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.37 / $156.37 / $156.37	Facility		$156.37	$156.37	$156.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.44 / $229.56 / $260.86	Facility		$196.44	$229.56	$260.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $105.94 / $138.30	Professional		$35.07	$105.94	$138.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.91 / $61.20 / $73.06	Facility		$54.91	$61.20	$73.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.36 / $61.93 / $76.50	Facility		$53.36	$61.93	$76.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $36.46 / $68.09	Professional		$30.38	$36.46	$68.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $60.21 / $70.00	Professional		$58.40	$60.21	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $61.20 / $73.06	Facility		$53.70	$61.20	$73.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $112.47 / $212.29	Professional		$73.06	$112.47	$212.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $148.33 / $148.33 / $378.85	Facility		$148.33	$148.33	$378.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $321.12 / $482.28	Professional		$35.07	$321.12	$482.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $73.06 / $73.06	Professional		$73.06	$73.06	$73.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $55.56 / $73.06	Professional		$55.56	$55.56	$73.06
United Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $36.46 / $58.20	Professional		$28.54	$36.46	$58.20