Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.32 / $12.90 / $19.18	Facility		$10.32	$12.90	$19.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.05 / $8.17 / $33.83	Professional		$7.05	$8.17	$33.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.48 / $22.36 / $23.65	Facility		$18.48	$22.36	$23.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $4.25 / $35.59	Professional		$4.25	$4.25	$35.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.78 / $23.36 / $24.28	Facility		$5.78	$23.36	$24.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.43 / $27.38 / $42.00	Facility		$23.43	$27.38	$42.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $23.16 / $26.31	Professional		$9.91	$23.16	$26.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.66 / $7.66 / $10.32	Facility		$7.66	$7.66	$10.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.05 / $7.74 / $100.00	Facility		$7.05	$7.74	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $8.60 / $23.82	Professional		$5.05	$8.60	$23.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $16.87 / $85.00	Professional		$4.30	$16.87	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.66 / $7.66 / $10.32	Facility		$7.66	$7.66	$10.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $21.38 / $98.81	Professional		$10.52	$21.38	$98.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $17.20 / $100.00	Facility		$17.20	$17.20	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $5.72 / $8.36	Professional		$4.55	$5.72	$8.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $8.85 / $18.30	Professional		$8.85	$8.85	$18.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.85 / $8.85 / $46.96	Professional		$8.85	$8.85	$46.96
United Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.30 / $7.10 / $21.30	Professional		$4.30	$7.10	$21.30