Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $26.24 / $39.00	Facility		$20.99	$26.24	$39.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $16.62 / $37.64	Professional		$14.34	$16.62	$37.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.60 / $45.47 / $48.10	Facility		$37.60	$45.47	$48.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $7.00 / $71.34	Professional		$7.00	$7.00	$71.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $42.74 / $44.42	Facility		$9.94	$42.74	$44.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.76 / $55.81 / $85.61	Facility		$47.76	$55.81	$85.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $47.10 / $53.53	Professional		$20.23	$47.10	$53.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $9.19 / $20.99	Facility		$8.52	$9.19	$20.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $14.34 / $121.00	Facility		$8.52	$14.34	$121.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $13.37 / $31.48	Professional		$7.35	$13.37	$31.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $26.24 / $85.00	Professional		$8.75	$26.24	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $9.19 / $20.99	Facility		$8.52	$9.19	$20.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $42.77 / $101.04	Professional		$20.52	$42.77	$101.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.97 / $50.00 / $121.00	Facility		$34.97	$50.00	$121.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $6.40 / $9.41	Professional		$6.37	$6.40	$9.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $37.25	Professional		$9.86	$9.86	$37.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $38.19 / $95.50	Professional		$9.86	$38.19	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $7.35 / $10.51 / $31.48	Professional		$7.35	$10.51	$31.48