Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.05 / $10.07 / $14.96	Facility		$8.05	$10.07	$14.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $6.37 / $21.45	Professional		$5.50	$6.37	$21.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.43 / $17.45 / $18.45	Facility		$14.43	$17.45	$18.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $27.37	Professional		$2.69	$2.69	$27.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.48 / $16.39 / $17.04	Facility		$4.48	$16.39	$17.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $21.06 / $32.31	Facility		$18.02	$21.06	$32.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $18.07 / $20.54	Professional		$7.85	$18.07	$20.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.96 / $5.22 / $8.05	Facility		$4.96	$5.22	$8.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.96 / $5.50 / $80.00	Facility		$4.96	$5.50	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $6.71 / $16.11	Professional		$3.89	$6.71	$16.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $55.00 / $85.00	Professional		$3.36	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.96 / $5.22 / $8.05	Facility		$4.96	$5.22	$8.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $16.55 / $22.72	Professional		$7.98	$16.55	$22.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $13.42 / $80.00	Facility		$13.42	$13.42	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $3.56 / $3.59	Professional		$3.56	$3.56	$3.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $5.60 / $14.29	Professional		$5.60	$5.60	$14.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $21.71 / $36.64	Professional		$5.60	$21.71	$36.64
United Facility/Professional Professional Modifier Low / Median / High Price $3.62 / $5.37 / $16.11	Professional		$3.62	$5.37	$16.11