Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $18.02 / $26.78	Facility		$14.41	$18.02	$26.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $30.96 / $32.13	Professional		$10.40	$30.96	$32.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.82 / $31.23 / $33.03	Facility		$25.82	$31.23	$33.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.93 / $5.93 / $48.13	Professional		$5.93	$5.93	$48.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $32.61 / $33.88	Facility		$9.64	$32.61	$33.88
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 / $32.34 / $36.75	Professional		$13.63	$32.34	$36.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.70 / $10.70 / $14.41	Facility		$10.70	$10.70	$14.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.85 / $10.81 / $78.00	Facility		$9.85	$10.81	$78.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $9.61 / $26.68	Professional		$4.87	$9.61	$26.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.01 / $18.02 / $85.00	Professional		$6.01	$18.02	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.70 / $10.70 / $14.41	Facility		$10.70	$10.70	$14.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.67 / $29.30 / $60.17	Professional		$14.67	$29.30	$60.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.02 / $25.51 / $78.00	Facility		$24.02	$25.51	$78.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $7.84 / $11.76	Professional		$6.37	$7.84	$11.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $25.58 / $129.06	Professional		$25.58	$25.58	$129.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $129.06 / $129.06	Professional		$29.34	$129.06	$129.06
United Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $9.61 / $32.90	Professional		$4.91	$9.61	$32.90