Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.09 / $17.61 / $26.18	Facility		$14.09	$17.61	$26.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $11.04 / $32.97	Professional		$9.63	$11.04	$32.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.24 / $30.52 / $32.29	Facility		$25.24	$30.52	$32.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.70 / $4.70 / $47.89	Professional		$4.70	$4.70	$47.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.77 / $28.69 / $29.82	Facility		$7.77	$28.69	$29.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $37.90 / $58.15	Facility		$32.44	$37.90	$58.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $31.61 / $35.93	Professional		$13.22	$31.61	$35.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.47 / $8.07 / $14.09	Facility		$7.47	$8.07	$14.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.47 / $9.63 / $100.00	Facility		$7.47	$9.63	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $9.39 / $24.59	Professional		$6.44	$9.39	$24.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $17.61 / $85.00	Professional		$5.87	$17.61	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.47 / $8.07 / $14.09	Facility		$7.47	$8.07	$14.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $28.51 / $43.91	Professional		$13.68	$28.51	$43.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.48 / $23.48 / $100.00	Facility		$23.48	$23.48	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $5.60 / $8.10	Professional		$5.55	$5.60	$8.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $8.63 / $25.00	Professional		$8.63	$8.63	$25.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.63 / $34.11 / $64.09	Professional		$8.63	$34.11	$64.09
United Facility/Professional Facility Modifier Low / Median / High Price $9.39 / $9.39 / $25.48	Facility		$9.39	$9.39	$25.48
United Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $7.04 / $21.85	Professional		$6.00	$7.04	$21.85