Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.25 / $27.81 / $41.34	Facility		$22.25	$27.81	$41.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $17.61 / $72.90	Professional		$15.20	$17.61	$72.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $48.20 / $50.99	Facility		$39.86	$48.20	$50.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $9.16 / $76.70	Professional		$9.16	$9.16	$76.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $50.35 / $52.32	Facility		$12.65	$50.35	$52.32
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 $21.06 / $49.93 / $56.74	Professional		$21.06	$49.93	$56.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $16.52 / $22.25	Facility		$16.52	$16.52	$22.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.20 / $16.69 / $100.00	Facility		$15.20	$16.69	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $18.54 / $51.36	Professional		$11.12	$18.54	$51.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $51.17 / $85.00	Professional		$9.27	$51.17	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $16.52 / $22.25	Facility		$16.52	$16.52	$22.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $45.14 / $153.76	Professional		$22.66	$45.14	$153.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.08 / $37.08 / $100.00	Facility		$37.08	$37.08	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $12.25 / $18.03	Professional		$9.83	$12.25	$18.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $19.07 / $39.47	Professional		$19.07	$19.07	$39.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $19.07 / $101.23	Professional		$19.07	$19.07	$101.23
United Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $16.48 / $44.70	Facility		$16.48	$16.48	$44.70
United Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $18.54 / $60.71	Professional		$10.75	$18.54	$60.71