Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.44 / $23.50 / $37.97	Facility		$20.44	$23.50	$37.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $16.18 / $66.95	Professional		$13.96	$16.18	$66.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $40.09 / $42.41	Facility		$33.15	$40.09	$42.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $8.41 / $72.94	Professional		$8.41	$8.41	$72.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.96 / $17.03 / $46.24	Facility		$9.96	$17.03	$46.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $54.76 / $84.00	Facility		$46.86	$54.76	$84.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $45.86 / $64.59	Professional		$21.48	$45.86	$64.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.19 / $16.19 / $20.58	Facility		$16.19	$16.19	$20.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.96 / $16.19 / $192.95	Facility		$13.96	$16.19	$192.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $17.03 / $47.17	Professional		$10.00	$17.03	$47.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $47.00 / $85.00	Professional		$8.52	$47.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.19 / $16.19 / $20.58	Facility		$16.19	$16.19	$20.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $80.91 / $114.67	Professional		$40.28	$80.91	$114.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.06 / $34.06 / $192.95	Facility		$34.06	$34.06	$192.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $16.73 / $30.32	Professional		$9.02	$16.73	$30.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $36.27 / $103.00	Professional		$36.27	$36.27	$103.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $92.98 / $103.00	Professional		$65.34	$92.98	$103.00
United Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $17.03 / $17.03	Facility		$17.03	$17.03	$17.03
United Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $14.28 / $46.67	Professional		$8.52	$14.28	$46.67