Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.71 / $34.77 / $127.10	Facility		$18.71	$34.77	$127.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $13.89 / $18.71	Professional		$12.47	$13.89	$18.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.52 / $40.53 / $42.87	Facility		$33.52	$40.53	$42.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $7.70 / $64.50	Professional		$7.70	$7.70	$64.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $42.33 / $43.99	Facility		$12.51	$42.33	$43.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.25 / $50.55 / $77.54	Facility		$43.25	$50.55	$77.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $41.98 / $47.70	Professional		$17.76	$41.98	$47.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.88 / $13.88 / $18.71	Facility		$13.88	$13.88	$18.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.78 / $15.00 / $74.31	Facility		$12.78	$15.00	$74.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $15.59 / $43.18	Professional		$9.35	$15.59	$43.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.80 / $30.54 / $85.00	Professional		$7.80	$30.54	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $13.88 / $13.88 / $18.71	Facility		$13.88	$13.88	$18.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $38.02 / $74.12	Professional		$19.05	$38.02	$74.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.18 / $37.14 / $74.31	Facility		$31.18	$37.14	$74.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $10.29 / $15.16	Professional		$8.26	$10.29	$15.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $33.20 / $64.54	Professional		$33.20	$33.20	$64.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.54 / $64.54 / $85.12	Professional		$64.54	$64.54	$85.12
United Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $12.85 / $42.72	Professional		$9.03	$12.85	$42.72