Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.40 / $26.76 / $132.16	Facility		$14.40	$26.76	$132.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.81 / $14.40	Professional		$10.47	$10.81	$14.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.80 / $31.20 / $33.00	Facility		$25.80	$31.20	$33.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $49.65	Professional		$5.92	$5.92	$49.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $32.57 / $33.86	Facility		$9.63	$32.57	$33.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $38.96 / $59.77	Facility		$33.34	$38.96	$59.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $32.32 / $36.72	Professional		$13.63	$32.32	$36.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.70 / $10.70 / $14.40	Facility		$10.70	$10.70	$14.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.84 / $10.80 / $142.00	Facility		$9.84	$10.80	$142.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.05 / $12.00 / $33.24	Professional		$7.05	$12.00	$33.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $23.54 / $85.00	Professional		$6.00	$23.54	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.70 / $10.70 / $14.40	Facility		$10.70	$10.70	$14.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $29.30 / $109.82	Professional		$14.66	$29.30	$109.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $28.60 / $142.00	Facility		$24.00	$28.60	$142.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $7.84 / $11.76	Professional		$6.36	$7.84	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $25.55 / $37.39	Professional		$25.55	$25.55	$37.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $48.40 / $65.52	Professional		$37.39	$48.40	$65.52
United Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Facility		$12.00	$12.00	$12.00
United Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $10.13 / $29.73	Professional		$6.00	$10.13	$29.73