Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.13 / $12.66 / $18.82	Facility		$10.13	$12.66	$18.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $7.66 / $10.13	Professional		$6.92	$7.66	$10.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $21.94 / $23.21	Facility		$18.14	$21.94	$23.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $34.93	Professional		$4.17	$4.17	$34.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.76 / $22.92 / $23.83	Facility		$5.76	$22.92	$23.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.43 / $27.38 / $42.00	Facility		$23.43	$27.38	$42.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $22.73 / $25.83	Professional		$9.50	$22.73	$25.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.52 / $7.52 / $10.13	Facility		$7.52	$7.52	$10.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $7.60 / $100.00	Facility		$6.92	$7.60	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $8.44 / $23.38	Professional		$5.05	$8.44	$23.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.22 / $16.55 / $85.00	Professional		$4.22	$16.55	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.52 / $7.52 / $10.13	Facility		$7.52	$7.52	$10.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $20.59 / $92.92	Professional		$10.32	$20.59	$92.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.88 / $16.88 / $100.00	Facility		$16.88	$16.88	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.55 / $8.36	Professional		$4.47	$5.55	$8.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $17.97 / $37.39	Professional		$17.97	$17.97	$37.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $37.39 / $46.08	Professional		$37.39	$37.39	$46.08
United Facility/Professional Facility Modifier Low / Median / High Price $8.44 / $8.44 / $8.44	Facility		$8.44	$8.44	$8.44
United Facility/Professional Professional Modifier Low / Median / High Price $4.96 / $8.44 / $20.91	Professional		$4.96	$8.44	$20.91