Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.56 / $14.45 / $21.47	Facility		$11.56	$14.45	$21.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $8.73 / $11.56	Professional		$8.19	$8.73	$11.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.70 / $25.04 / $26.48	Facility		$20.70	$25.04	$26.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $39.28	Professional		$4.76	$4.76	$39.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.57 / $26.15 / $27.18	Facility		$6.57	$26.15	$27.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.13 / $30.54 / $46.85	Facility		$26.13	$30.54	$46.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $25.93 / $29.46	Professional		$11.15	$25.93	$29.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.58 / $8.58 / $11.56	Facility		$8.58	$8.58	$11.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.90 / $8.67 / $116.45	Facility		$7.90	$8.67	$116.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $8.11 / $21.40	Professional		$4.79	$8.11	$21.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $26.58 / $85.00	Professional		$4.82	$26.58	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.58 / $8.58 / $11.56	Facility		$8.58	$8.58	$11.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $23.76 / $109.82	Professional		$11.77	$23.76	$109.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.26 / $19.26 / $116.45	Facility		$19.26	$19.26	$116.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $6.37 / $9.41	Professional		$5.09	$6.37	$9.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $5.99 / $20.51	Professional		$5.99	$5.99	$20.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $5.99 / $52.58	Professional		$5.99	$5.99	$52.58
United Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $9.63 / $9.63	Facility		$9.63	$9.63	$9.63
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.70 / $17.93	Professional		$4.79	$7.70	$17.93