Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.43 / $17.53 / $78.43	Facility		$9.43	$17.53	$78.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $7.14 / $10.79	Professional		$6.75	$7.14	$10.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $20.44 / $21.62	Facility		$16.89	$20.44	$21.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $5.82 / $32.52	Professional		$5.82	$5.82	$32.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.36 / $21.33 / $22.17	Facility		$5.36	$21.33	$22.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $7.86 / $7.86	Professional		$7.86	$7.86	$7.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.63 / $25.27 / $38.77	Facility		$21.63	$25.27	$38.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $21.16 / $24.05	Professional		$9.09	$21.16	$24.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.00 / $7.00 / $9.43	Facility		$7.00	$7.00	$9.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.45 / $7.39 / $70.00	Facility		$6.45	$7.39	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $7.86 / $21.77	Professional		$4.72	$7.86	$21.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $16.21 / $85.00	Professional		$3.93	$16.21	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.00 / $7.00 / $9.43	Facility		$7.00	$7.00	$9.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $19.01 / $33.04	Professional		$9.60	$19.01	$33.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.72 / $15.72 / $70.00	Facility		$15.72	$15.72	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.23 / $7.58	Professional		$4.17	$5.23	$7.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $8.09 / $16.73	Professional		$8.09	$8.09	$16.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $37.26 / $42.92	Professional		$8.09	$37.26	$42.92
United Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $6.49 / $21.54	Professional		$4.55	$6.49	$21.54