Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $20.04 / $29.79	Facility		$16.03	$20.04	$29.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.69 / $52.54	Professional		$10.96	$12.69	$52.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.72 / $34.74 / $36.74	Facility		$28.72	$34.74	$36.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $6.60 / $55.27	Professional		$6.60	$6.60	$55.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.15 / $36.26 / $37.69	Facility		$8.15	$36.26	$37.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $43.17 / $66.23	Facility		$36.95	$43.17	$66.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $35.97 / $40.89	Professional		$15.28	$35.97	$40.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $11.90 / $16.03	Facility		$11.90	$11.90	$16.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $12.02 / $111.00	Facility		$10.96	$12.02	$111.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.02 / $13.36 / $37.01	Professional		$8.02	$13.36	$37.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $36.86 / $85.00	Professional		$6.68	$36.86	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $11.90 / $16.03	Facility		$11.90	$11.90	$16.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $32.47 / $142.77	Professional		$16.32	$32.47	$142.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.72 / $50.00 / $111.00	Facility		$26.72	$50.00	$111.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.82 / $13.07	Professional		$7.08	$8.82	$13.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.45 / $28.45 / $36.57	Professional		$28.45	$28.45	$36.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $63.77 / $72.95	Professional		$36.57	$63.77	$72.95
United Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $13.36 / $13.36	Facility		$13.36	$13.36	$13.36
United Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $11.62 / $39.19	Professional		$7.75	$11.62	$39.19