Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.70 / $27.25 / $44.04	Facility		$23.70	$27.25	$44.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $18.57 / $70.98	Professional		$15.71	$18.57	$70.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.46 / $51.35 / $54.31	Facility		$42.46	$51.35	$54.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $8.92 / $81.72	Professional		$8.92	$8.92	$81.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.22 / $49.03 / $50.95	Facility		$13.22	$49.03	$50.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.07 / $63.18 / $96.92	Facility		$54.07	$63.18	$96.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $53.19 / $60.44	Professional		$22.72	$53.19	$60.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.07 / $23.70	Facility		$16.07	$16.07	$23.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $17.37 / $251.00	Facility		$16.07	$17.37	$251.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $19.75 / $52.98	Professional		$11.85	$19.75	$52.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $35.39 / $85.00	Professional		$9.88	$35.39	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $16.07 / $23.70	Facility		$16.07	$16.07	$23.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $48.31 / $76.73	Professional		$23.18	$48.31	$76.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39.50 / $39.50 / $251.00	Facility		$39.50	$39.50	$251.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $11.92 / $17.77	Professional		$10.47	$11.92	$17.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.06 / $42.06 / $71.79	Professional		$42.06	$42.06	$71.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $71.79 / $71.79 / $107.84	Professional		$71.79	$71.79	$107.84
United Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $16.05 / $43.53	Facility		$16.05	$16.05	$43.53
United Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $15.80 / $44.70	Professional		$11.46	$15.80	$44.70