Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.46 / $88.24 / $90.34	Facility		$11.46	$88.24	$90.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $7.39 / $9.55	Professional		$7.10	$7.39	$9.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.53 / $24.83 / $26.26	Facility		$20.53	$24.83	$26.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $4.03 / $38.97	Professional		$4.03	$4.03	$38.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.44 / $10.02 / $23.34	Facility		$6.44	$10.02	$23.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.13 / $30.54 / $46.85	Facility		$26.13	$30.54	$46.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $25.72 / $29.23	Professional		$11.15	$25.72	$29.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.27 / $7.64 / $11.46	Facility		$7.27	$7.64	$11.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.27 / $7.85 / $205.07	Facility		$7.27	$7.85	$205.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $8.96 / $23.96	Professional		$5.54	$8.96	$23.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.78 / $16.82 / $85.00	Professional		$4.78	$16.82	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.27 / $7.64 / $11.46	Facility		$7.27	$7.64	$11.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.40 / $23.76 / $74.67	Professional		$11.40	$23.76	$74.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $19.10 / $205.07	Facility		$19.10	$19.10	$205.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.39 / $8.10	Professional		$5.05	$5.39	$8.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $8.40 / $20.34	Professional		$8.40	$8.40	$20.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $38.71 / $52.14	Professional		$8.40	$38.71	$52.14
United Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $8.31 / $31.09	Professional		$5.00	$8.31	$31.09