Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.44 / $19.30 / $28.70	Facility		$15.44	$19.30	$28.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $11.49 / $15.44	Professional		$10.55	$11.49	$15.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.67 / $33.46 / $35.39	Facility		$27.67	$33.46	$35.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.36 / $6.36 / $51.48	Professional		$6.36	$6.36	$51.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $34.95 / $36.32	Facility		$10.33	$34.95	$36.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.14 / $41.07 / $63.00	Facility		$35.14	$41.07	$63.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.87 / $34.65 / $39.39	Professional		$14.87	$34.65	$39.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.46 / $11.46 / $15.44	Facility		$11.46	$11.46	$15.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.55 / $11.58 / $72.00	Facility		$10.55	$11.58	$72.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $10.30 / $28.60	Professional		$4.87	$10.30	$28.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.44 / $19.30 / $85.00	Professional		$6.44	$19.30	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.46 / $11.46 / $15.44	Facility		$11.46	$11.46	$15.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $31.68 / $60.17	Professional		$15.73	$31.68	$60.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.74 / $27.34 / $72.00	Facility		$25.74	$27.34	$72.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.82 / $8.49 / $12.55	Professional		$6.82	$8.49	$12.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $5.99 / $27.41	Professional		$5.99	$5.99	$27.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $23.19 / $70.27	Professional		$5.99	$23.19	$70.27
United Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $10.30 / $28.60	Professional		$4.91	$10.30	$28.60