Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.53 / $18.17 / $27.01	Facility		$14.53	$18.17	$27.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $14.48 / $47.62	Professional		$9.93	$14.48	$47.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.04 / $31.49 / $33.29	Facility		$26.04	$31.49	$33.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.98 / $5.98 / $50.11	Professional		$5.98	$5.98	$50.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.72 / $32.86 / $34.15	Facility		$9.72	$32.86	$34.15
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 / $32.61 / $37.06	Professional		$13.63	$32.61	$37.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $10.79 / $14.53	Facility		$10.79	$10.79	$14.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.93 / $10.90 / $87.00	Facility		$9.93	$10.90	$87.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $12.11 / $33.54	Professional		$7.11	$12.11	$33.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $23.73 / $85.00	Professional		$6.06	$23.73	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $10.79 / $14.53	Facility		$10.79	$10.79	$14.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $29.30 / $98.81	Professional		$14.80	$29.30	$98.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.22 / $28.86 / $87.00	Facility		$24.22	$28.86	$87.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $8.00 / $11.76	Professional		$6.42	$8.00	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.79 / $25.79 / $43.00	Professional		$25.79	$25.79	$43.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $43.00 / $66.12	Professional		$43.00	$43.00	$66.12
United Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $9.99 / $33.54	Professional		$6.06	$9.99	$33.54