Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.16 / $25.20 / $37.46	Facility		$20.16	$25.20	$37.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $15.79 / $20.16	Professional		$13.78	$15.79	$20.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $43.68 / $46.20	Facility		$36.11	$43.68	$46.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $8.30 / $69.51	Professional		$8.30	$8.30	$69.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.29 / $45.62 / $47.42	Facility		$11.29	$45.62	$47.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $53.70 / $82.38	Facility		$45.96	$53.70	$82.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $45.24 / $51.41	Professional		$19.41	$45.24	$51.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.96 / $14.96 / $20.16	Facility		$14.96	$14.96	$20.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.78 / $15.12 / $106.93	Facility		$13.78	$15.12	$106.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $16.80 / $46.54	Professional		$10.08	$16.80	$46.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $32.94 / $85.00	Professional		$8.40	$32.94	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.96 / $14.96 / $20.16	Facility		$14.96	$14.96	$20.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $41.18 / $197.64	Professional		$20.54	$41.18	$197.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.60 / $33.60 / $106.93	Facility		$33.60	$33.60	$106.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $11.11 / $16.47	Professional		$8.90	$11.11	$16.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.78 / $35.78 / $70.25	Professional		$35.78	$35.78	$70.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $80.22 / $91.73	Professional		$66.98	$80.22	$91.73
United Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $13.91 / $41.59	Professional		$9.74	$13.91	$41.59