Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.16 / $25.20 / $37.46	Facility		$20.16	$25.20	$37.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $15.96 / $49.05	Professional		$13.78	$15.96	$49.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $43.68 / $46.20	Facility		$36.11	$43.68	$46.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $8.30 / $68.53	Professional		$8.30	$8.30	$68.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.33 / $45.62 / $47.42	Facility		$11.33	$45.62	$47.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.96 / $53.70 / $82.38	Facility		$45.96	$53.70	$82.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $45.24 / $51.41	Professional		$19.41	$45.24	$51.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.11 / $12.01 / $20.16	Facility		$11.11	$12.01	$20.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.11 / $13.78 / $100.00	Facility		$11.11	$13.78	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $16.80 / $37.35	Professional		$9.74	$16.80	$37.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $44.02 / $85.00	Professional		$8.40	$44.02	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.11 / $12.01 / $20.16	Facility		$11.11	$12.01	$20.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $41.18 / $116.40	Professional		$20.54	$41.18	$116.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.60 / $50.00 / $100.00	Facility		$33.60	$50.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.17 / $8.34 / $12.28	Professional		$8.17	$8.34	$12.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $12.84 / $35.78	Professional		$12.84	$12.84	$35.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $49.75 / $91.73	Professional		$12.84	$49.75	$91.73
United Facility/Professional Facility Modifier Low / Median / High Price $20.16 / $20.16 / $20.16	Facility		$20.16	$20.16	$20.16
United Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $10.54 / $36.60	Professional		$9.11	$10.54	$36.60