Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $10.80 / $16.05	Facility		$8.64	$10.80	$16.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $6.77 / $25.97	Professional		$5.90	$6.77	$25.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $18.72 / $19.80	Facility		$15.48	$18.72	$19.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.26 / $3.26 / $29.79	Professional		$3.26	$3.26	$29.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.93 / $17.96 / $18.67	Facility		$4.93	$17.96	$18.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $23.17 / $35.54	Facility		$19.82	$23.17	$35.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $19.39 / $22.04	Professional		$8.26	$19.39	$22.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.88 / $5.88 / $8.64	Facility		$5.88	$5.88	$8.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.88 / $6.36 / $100.00	Facility		$5.88	$6.36	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $7.20 / $19.38	Professional		$4.32	$7.20	$19.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $12.94 / $85.00	Professional		$3.60	$12.94	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.88 / $5.88 / $8.64	Facility		$5.88	$5.88	$8.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $17.42 / $83.44	Professional		$8.36	$17.42	$83.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $14.40 / $100.00	Facility		$14.40	$14.40	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $4.41 / $6.53	Professional		$3.82	$4.41	$6.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $15.33 / $19.16	Professional		$15.33	$15.33	$19.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.16 / $19.16 / $39.31	Professional		$19.16	$19.16	$39.31
United Facility/Professional Professional Modifier Low / Median / High Price $3.97 / $5.76 / $19.38	Professional		$3.97	$5.76	$19.38