Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.27 / $15.36 / $46.80	Facility		$8.27	$15.36	$46.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.65 / $6.48 / $8.27	Professional		$5.65	$6.48	$8.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $17.91 / $18.95	Facility		$14.81	$17.91	$18.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $3.40 / $28.51	Professional		$3.40	$3.40	$28.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.70 / $18.70 / $19.43	Facility		$4.70	$18.70	$19.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.92 / $22.11 / $33.92	Facility		$18.92	$22.11	$33.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $18.55 / $21.09	Professional		$7.85	$18.55	$21.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $6.13 / $8.27	Facility		$6.13	$6.13	$8.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.65 / $6.20 / $100.00	Facility		$5.65	$6.20	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $6.89 / $19.09	Professional		$4.13	$6.89	$19.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $13.50 / $85.00	Professional		$3.45	$13.50	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $6.13 / $8.27	Facility		$6.13	$6.13	$8.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $16.63 / $98.81	Professional		$8.42	$16.63	$98.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.78 / $13.78 / $100.00	Facility		$13.78	$13.78	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $4.57 / $6.80	Professional		$3.65	$4.57	$6.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.67 / $14.67 / $42.23	Professional		$14.67	$14.67	$42.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $37.61 / $42.23	Professional		$27.46	$37.61	$42.23
United Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $5.81 / $18.88	Professional		$4.00	$5.81	$18.88