Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.44 / $28.70 / $583.44	Facility		$15.44	$28.70	$583.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $12.10 / $50.59	Professional		$10.55	$12.10	$50.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.67 / $33.46 / $35.39	Facility		$27.67	$33.46	$35.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $6.36 / $53.25	Professional		$6.36	$6.36	$53.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.77 / $34.95 / $36.32	Facility		$8.77	$34.95	$36.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $41.07 / $63.00	Facility		$35.14	$41.07	$63.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $34.65 / $39.39	Professional		$14.87	$34.65	$39.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $11.47 / $15.44	Facility		$11.47	$11.47	$15.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.55 / $11.58 / $169.00	Facility		$10.55	$11.58	$169.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $12.87 / $35.65	Professional		$7.72	$12.87	$35.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $25.23 / $85.00	Professional		$6.44	$25.23	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.47 / $11.47 / $15.44	Facility		$11.47	$11.47	$15.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $31.68 / $230.61	Professional		$15.73	$31.68	$230.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.74 / $25.74 / $169.00	Facility		$25.74	$25.74	$169.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $8.49 / $12.55	Professional		$6.82	$8.49	$12.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.41 / $27.41 / $473.80	Professional		$27.41	$27.41	$473.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $70.27 / $473.80	Professional		$48.40	$70.27	$473.80
United Facility/Professional Facility Modifier Low / Median / High Price $11.44 / $11.44 / $31.03	Facility		$11.44	$11.44	$31.03
United Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $10.61 / $35.27	Professional		$7.46	$10.61	$35.27