Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $15.27 / $22.70	Facility		$12.22	$15.27	$22.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.35 / $9.67 / $40.04	Professional		$8.35	$9.67	$40.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.89 / $26.47 / $28.00	Facility		$21.89	$26.47	$28.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $5.03 / $42.12	Professional		$5.03	$5.03	$42.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.95 / $27.66 / $28.75	Facility		$6.95	$27.66	$28.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.93 / $32.64 / $50.08	Facility		$27.93	$32.64	$50.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $27.41 / $31.15	Professional		$11.56	$27.41	$31.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.07 / $9.07 / $12.22	Facility		$9.07	$9.07	$12.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.35 / $9.16 / $116.00	Facility		$8.35	$9.16	$116.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $10.18 / $28.20	Professional		$5.98	$10.18	$28.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $19.97 / $85.00	Professional		$5.09	$19.97	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.07 / $9.07 / $12.22	Facility		$9.07	$9.07	$12.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $24.55 / $78.31	Professional		$12.45	$24.55	$78.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20.36 / $20.36 / $116.00	Facility		$20.36	$20.36	$116.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $6.70 / $9.93	Professional		$5.40	$6.70	$9.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $10.48 / $21.68	Professional		$10.48	$10.48	$21.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $10.48 / $55.58	Professional		$10.48	$10.48	$55.58
United Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $8.60 / $28.20	Professional		$5.09	$8.60	$28.20