Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.18 / $21.48 / $31.93	Facility		$17.18	$21.48	$31.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $13.46 / $56.28	Professional		$11.74	$13.46	$56.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $37.22 / $39.38	Facility		$30.79	$37.22	$39.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.07 / $7.07 / $59.26	Professional		$7.07	$7.07	$59.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $38.88 / $40.40	Facility		$9.77	$38.88	$40.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $46.33 / $71.08	Facility		$39.65	$46.33	$71.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $38.57 / $43.83	Professional		$16.52	$38.57	$43.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $12.75 / $17.18	Facility		$12.75	$12.75	$17.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $12.89 / $100.00	Facility		$11.74	$12.89	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $14.32 / $39.67	Professional		$8.59	$14.32	$39.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $39.52 / $85.00	Professional		$7.16	$39.52	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $12.75 / $17.18	Facility		$12.75	$12.75	$17.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $34.85 / $116.40	Professional		$17.50	$34.85	$116.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.64 / $28.64 / $100.00	Facility		$28.64	$28.64	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.47 / $14.11	Professional		$7.59	$9.47	$14.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $30.50	Professional		$14.73	$14.73	$30.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $72.22 / $78.19	Professional		$14.73	$72.22	$78.19
United Facility/Professional Professional Modifier Low / Median / High Price $8.31 / $12.09 / $39.24	Professional		$8.31	$12.09	$39.24