Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.07 / $18.84 / $28.01	Facility		$15.07	$18.84	$28.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $11.81 / $15.07	Professional		$10.30	$11.81	$15.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $32.65 / $34.54	Facility		$27.00	$32.65	$34.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $6.20 / $50.24	Professional		$6.20	$6.20	$50.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.08 / $34.11 / $35.46	Facility		$10.08	$34.11	$35.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $40.02 / $61.38	Facility		$34.24	$40.02	$61.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $33.83 / $38.44	Professional		$14.46	$33.83	$38.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.19 / $11.19 / $15.07	Facility		$11.19	$11.19	$15.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $11.30 / $97.75	Facility		$10.30	$11.30	$97.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $10.05 / $27.92	Professional		$4.87	$10.05	$27.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.28 / $18.84 / $85.00	Professional		$6.28	$18.84	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.19 / $11.19 / $15.07	Facility		$11.19	$11.19	$15.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $30.89 / $54.90	Professional		$15.36	$30.89	$54.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $50.00 / $97.75	Facility		$25.12	$50.00	$97.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $8.33 / $12.28	Professional		$6.66	$8.33	$12.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $26.75 / $66.97	Professional		$26.75	$26.75	$66.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $66.97 / $68.58	Professional		$23.19	$66.97	$68.58
United Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $10.05 / $34.42	Professional		$4.91	$10.05	$34.42