Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.75 / $18.44 / $27.41	Facility		$14.75	$18.44	$27.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $11.68 / $43.93	Professional		$10.08	$11.68	$43.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.42 / $31.95 / $33.79	Facility		$26.42	$31.95	$33.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $5.52 / $50.55	Professional		$5.52	$5.52	$50.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.40 / $30.33 / $31.52	Facility		$8.40	$30.33	$31.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $40.02 / $61.38	Facility		$34.24	$40.02	$61.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $33.10 / $37.61	Professional		$14.04	$33.10	$37.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $9.94 / $14.75	Facility		$9.94	$9.94	$14.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $10.75 / $100.95	Facility		$9.94	$10.75	$100.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $12.29 / $32.78	Professional		$7.37	$12.29	$32.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.15 / $33.92 / $85.00	Professional		$6.15	$33.92	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $9.94 / $14.75	Facility		$9.94	$9.94	$14.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $30.10 / $64.34	Professional		$16.60	$30.10	$64.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.58 / $24.58 / $100.95	Facility		$24.58	$24.58	$100.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $7.35 / $10.98	Professional		$6.51	$7.35	$10.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.17 / $26.17 / $98.42	Professional		$26.17	$26.17	$98.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.52 / $67.09 / $98.42	Professional		$44.52	$67.09	$98.42
United Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $9.83 / $32.78	Professional		$6.70	$9.83	$32.78