Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $77.59 / $131.75	Facility		$17.27	$77.59	$131.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $16.64 / $25.61	Professional		$9.35	$16.64	$25.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.94 / $37.40 / $39.57	Facility		$30.94	$37.40	$39.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $7.11 / $59.53	Professional		$7.11	$7.11	$59.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $39.07 / $40.61	Facility		$11.55	$39.07	$40.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $46.33 / $71.08	Facility		$39.65	$46.33	$71.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.52 / $38.75 / $44.04	Professional		$16.52	$38.75	$44.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.82 / $12.82 / $17.27	Facility		$12.82	$12.82	$17.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.80 / $12.95 / $76.73	Facility		$11.80	$12.95	$76.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $14.39 / $39.86	Professional		$8.44	$14.39	$39.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $28.22 / $85.00	Professional		$7.20	$28.22	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.82 / $12.82 / $17.27	Facility		$12.82	$12.82	$17.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $34.85 / $54.90	Professional		$17.59	$34.85	$54.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.78 / $30.57 / $76.73	Facility		$28.78	$30.57	$76.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $9.47 / $14.11	Professional		$7.63	$9.47	$14.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $30.64	Professional		$25.59	$25.59	$30.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $78.56	Professional		$25.59	$25.59	$78.56
United Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $11.87 / $39.44	Professional		$7.20	$11.87	$39.44