Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $28.16 / $41.86	Facility		$22.52	$28.16	$41.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $16.89 / $22.52	Professional		$12.05	$16.89	$22.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $48.80 / $51.62	Facility		$40.36	$48.80	$51.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $7.51 / $76.56	Professional		$7.51	$7.51	$76.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $45.87 / $47.68	Facility		$10.96	$45.87	$47.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.36 / $60.02 / $92.08	Facility		$51.36	$60.02	$92.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $50.55 / $57.44	Professional		$21.48	$50.55	$57.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.86 / $12.81 / $22.52	Facility		$11.86	$12.81	$22.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.86 / $15.39 / $100.00	Facility		$11.86	$15.39	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $17.39 / $39.06	Professional		$10.88	$17.39	$39.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.39 / $28.16 / $85.00	Professional		$9.39	$28.16	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.86 / $12.81 / $22.52	Facility		$11.86	$12.81	$22.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.04 / $45.94 / $109.82	Professional		$22.04	$45.94	$109.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.54 / $37.54 / $100.00	Facility		$37.54	$37.54	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.82 / $8.90 / $13.07	Professional		$8.82	$8.90	$13.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $39.97 / $74.28	Professional		$39.97	$39.97	$74.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $74.28 / $102.48	Professional		$54.55	$74.28	$102.48
United Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $18.77 / $18.77	Facility		$18.77	$18.77	$18.77
United Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $15.02 / $34.94	Professional		$10.14	$15.02	$34.94