Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $16.11 / $23.95	Facility		$12.89	$16.11	$23.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $10.19 / $42.21	Professional		$8.81	$10.19	$42.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $27.92 / $29.54	Facility		$23.09	$27.92	$29.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $5.30 / $44.44	Professional		$5.30	$5.30	$44.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.33 / $29.15 / $30.30	Facility		$7.33	$29.15	$30.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $34.75 / $53.31	Facility		$29.74	$34.75	$53.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $28.92 / $32.86	Professional		$12.39	$28.92	$32.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.56 / $9.56 / $12.89	Facility		$9.56	$9.56	$12.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.81 / $9.67 / $100.00	Facility		$8.81	$9.67	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $10.74 / $29.75	Professional		$6.30	$10.74	$29.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $21.05 / $85.00	Professional		$5.37	$21.05	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.56 / $9.56 / $12.89	Facility		$9.56	$9.56	$12.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $26.14 / $93.78	Professional		$13.12	$26.14	$93.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.48 / $21.48 / $100.00	Facility		$21.48	$21.48	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $7.02 / $10.45	Professional		$5.69	$7.02	$10.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $11.05 / $22.87	Professional		$11.05	$11.05	$22.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $11.05 / $58.64	Professional		$11.05	$11.05	$58.64
United Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $12.89 / $12.89	Facility		$12.89	$12.89	$12.89
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $8.86 / $29.43	Professional		$5.37	$8.86	$29.43