Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $20.81 / $30.93	Facility		$16.64	$20.81	$30.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $13.18 / $54.51	Professional		$11.37	$13.18	$54.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.82 / $36.06 / $38.14	Facility		$29.82	$36.06	$38.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $6.85 / $57.38	Professional		$6.85	$6.85	$57.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.46 / $37.65 / $39.14	Facility		$9.46	$37.65	$39.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $44.23 / $67.84	Facility		$37.85	$44.23	$67.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $37.35 / $42.44	Professional		$16.11	$37.35	$42.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $12.34 / $16.64	Facility		$12.34	$12.34	$16.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $12.48 / $100.00	Facility		$11.37	$12.48	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $13.87 / $38.42	Professional		$8.14	$13.87	$38.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $27.17 / $85.00	Professional		$6.94	$27.17	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $12.34 / $16.64	Facility		$12.34	$12.34	$16.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $34.06 / $65.89	Professional		$16.95	$34.06	$65.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.74 / $27.74 / $100.00	Facility		$27.74	$27.74	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $9.15 / $13.59	Professional		$7.35	$9.15	$13.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $29.54 / $92.70	Professional		$29.54	$29.54	$92.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $75.73 / $92.70	Professional		$55.31	$75.73	$92.70
United Facility/Professional Professional Modifier Low / Median / High Price $8.03 / $11.62 / $38.01	Professional		$8.03	$11.62	$38.01