Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.80 / $13.50 / $20.07	Facility		$10.80	$13.50	$20.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.38 / $8.55 / $27.08	Professional		$7.38	$8.55	$27.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $23.40 / $24.75	Facility		$19.35	$23.40	$24.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $3.60 / $36.72	Professional		$3.60	$3.60	$36.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $22.00 / $22.86	Facility		$6.00	$22.00	$22.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.33 / $28.43 / $43.62	Facility		$24.33	$28.43	$43.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $24.23 / $27.54	Professional		$10.33	$24.23	$27.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $6.62 / $10.80	Facility		$6.13	$6.62	$10.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $7.38 / $100.00	Facility		$6.13	$7.38	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $7.56 / $20.20	Professional		$5.03	$7.56	$20.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $13.50 / $85.00	Professional		$4.50	$13.50	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $6.62 / $10.80	Facility		$6.13	$6.62	$10.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $22.18 / $74.67	Professional		$10.64	$22.18	$74.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $18.00 / $100.00	Facility		$18.00	$18.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.59 / $6.80	Professional		$4.57	$4.59	$6.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $7.09 / $19.17	Professional		$7.09	$7.09	$19.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $27.46 / $49.14	Professional		$7.09	$27.46	$49.14
United Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $7.20 / $9.00	Facility		$4.50	$7.20	$9.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.50 / $5.81 / $20.20	Professional		$4.50	$5.81	$20.20