Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.11 / $37.36 / $97.16	Facility		$20.11	$37.36	$97.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.14 / $13.67 / $20.11	Professional		$13.14	$13.67	$20.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.03 / $43.58 / $46.09	Facility		$36.03	$43.58	$46.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.17 / $11.17 / $68.37	Professional		$11.17	$11.17	$68.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.43 / $17.60 / $40.96	Facility		$11.43	$17.60	$40.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $53.70 / $82.38	Facility		$45.96	$53.70	$82.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $50.02 / $56.84	Professional		$19.41	$50.02	$56.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $13.43 / $20.11	Facility		$13.43	$13.43	$20.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $14.50 / $100.00	Facility		$13.43	$14.50	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $16.76 / $34.67	Professional		$10.06	$16.76	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $25.14 / $85.00	Professional		$8.38	$25.14	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $13.43 / $20.11	Facility		$13.43	$13.43	$20.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $41.18 / $144.94	Professional		$19.76	$41.18	$144.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.52 / $33.52 / $100.00	Facility		$33.52	$33.52	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $9.96 / $14.64	Professional		$8.88	$9.96	$14.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.69 / $35.69 / $59.74	Professional		$35.69	$35.69	$59.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $59.61 / $59.74 / $91.51	Professional		$59.61	$59.74	$91.51
United Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $16.76 / $34.33	Professional		$10.06	$16.76	$34.33