Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $28.37 / $42.17	Facility		$22.69	$28.37	$42.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $17.96 / $74.36	Professional		$15.51	$17.96	$74.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $49.17 / $52.00	Facility		$40.65	$49.17	$52.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.34 / $9.34 / $78.23	Professional		$9.34	$9.34	$78.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.15 / $51.34 / $53.37	Facility		$11.15	$51.34	$53.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.27 / $61.08 / $93.69	Facility		$52.27	$61.08	$93.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $50.92 / $57.86	Professional		$21.48	$50.92	$57.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $16.26 / $22.69	Facility		$16.26	$16.26	$22.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.51 / $16.26 / $90.81	Facility		$15.51	$16.26	$90.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $18.91 / $55.50	Professional		$11.35	$18.91	$55.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $37.09 / $85.00	Professional		$9.46	$37.09	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.26 / $16.26 / $22.69	Facility		$16.26	$16.26	$22.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.11 / $44.74 / $63.80	Professional		$23.11	$44.74	$63.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.82 / $37.82 / $90.81	Facility		$37.82	$37.82	$90.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $12.41 / $18.55	Professional		$10.02	$12.41	$18.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $40.27 / $41.20	Professional		$40.27	$40.27	$41.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $75.39 / $103.25	Professional		$41.20	$75.39	$103.25
United Facility/Professional Professional Modifier Low / Median / High Price $10.97 / $15.98 / $55.50	Professional		$10.97	$15.98	$55.50