Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $17.21 / $69.05	Facility		$13.76	$17.21	$69.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.33 / $20.82	Professional		$10.00	$10.33	$20.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.66 / $29.82 / $31.54	Facility		$24.66	$29.82	$31.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $5.67 / $46.79	Professional		$5.67	$5.67	$46.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.21 / $31.16 / $32.39	Facility		$9.21	$31.16	$32.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.05 / $29.27 / $44.91	Facility		$25.05	$29.27	$44.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $30.89 / $35.10	Professional		$13.22	$30.89	$35.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.22 / $10.22 / $13.76	Facility		$10.22	$10.22	$13.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.41 / $11.04 / $69.00	Facility		$9.41	$11.04	$69.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $9.18 / $25.51	Professional		$4.82	$9.18	$25.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.74 / $17.21 / $85.00	Professional		$5.74	$17.21	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.22 / $10.22 / $13.76	Facility		$10.22	$10.22	$13.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $27.72 / $38.50	Professional		$14.03	$27.72	$38.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $24.38 / $69.00	Facility		$22.94	$24.38	$69.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $7.51 / $11.24	Professional		$6.08	$7.51	$11.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $18.85 / $24.43	Professional		$18.85	$18.85	$24.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.85 / $33.33 / $62.63	Professional		$18.85	$33.33	$62.63
United Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $13.76 / $13.76	Facility		$13.76	$13.76	$13.76
United Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $7.98 / $25.51	Professional		$4.82	$7.98	$25.51