Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $22.07 / $87.34	Facility		$17.64	$22.07	$87.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $13.83 / $32.79	Professional		$11.33	$13.83	$32.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.63 / $38.25 / $40.45	Facility		$31.63	$38.25	$40.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $7.26 / $60.86	Professional		$7.26	$7.26	$60.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.03 / $39.95 / $41.53	Facility		$10.03	$39.95	$41.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $47.39 / $72.69	Facility		$40.54	$47.39	$72.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $39.61 / $45.01	Professional		$16.93	$39.61	$45.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $13.10 / $17.64	Facility		$13.10	$13.10	$17.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $13.24 / $100.00	Facility		$12.06	$13.24	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $14.71 / $40.75	Professional		$8.83	$14.71	$40.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $40.61 / $85.00	Professional		$7.36	$40.61	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $13.10 / $17.64	Facility		$13.10	$13.10	$17.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $35.64 / $127.84	Professional		$17.98	$35.64	$127.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.42 / $29.42 / $100.00	Facility		$29.42	$29.42	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $9.64 / $14.37	Professional		$7.80	$9.64	$14.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $31.33 / $55.11	Professional		$31.33	$31.33	$55.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $55.11 / $58.65 / $80.31	Professional		$55.11	$58.65	$80.31
United Facility/Professional Facility Modifier Low / Median / High Price $14.71 / $14.71 / $14.71	Facility		$14.71	$14.71	$14.71
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $12.42 / $40.31	Professional		$8.52	$12.42	$40.31