Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $17.30 / $25.71	Facility		$13.84	$17.30	$25.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $10.95 / $45.30	Professional		$9.44	$10.95	$45.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.79 / $29.98 / $31.71	Facility		$24.79	$29.98	$31.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $5.69 / $47.71	Professional		$5.69	$5.69	$47.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $31.30 / $32.54	Facility		$7.24	$31.30	$32.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.54 / $36.86 / $56.54	Facility		$31.54	$36.86	$56.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $31.05 / $35.29	Professional		$13.22	$31.05	$35.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $6.11 / $13.84	Facility		$6.11	$6.11	$13.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $9.44 / $101.00	Facility		$6.11	$9.44	$101.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $11.53 / $31.94	Professional		$6.76	$11.53	$31.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $40.66 / $85.00	Professional		$5.71	$40.66	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $6.11 / $13.84	Facility		$6.11	$6.11	$13.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $28.51 / $49.02	Professional		$14.09	$28.51	$49.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.06 / $23.06 / $101.00	Facility		$23.06	$23.06	$101.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $7.68 / $11.24	Professional		$6.11	$7.68	$11.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $11.86 / $24.55	Professional		$11.86	$11.86	$24.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $45.95 / $62.95	Professional		$11.86	$45.95	$62.95
United Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $9.50 / $31.94	Professional		$6.07	$9.50	$31.94