Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.68 / $12.42 / $53.25	Facility		$6.68	$12.42	$53.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.29 / $9.94	Professional		$4.57	$5.29	$9.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $14.48 / $15.32	Facility		$11.98	$14.48	$15.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $22.72	Professional		$2.75	$2.75	$22.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.25 / $15.13 / $15.72	Facility		$4.25	$15.13	$15.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $17.89 / $27.46	Facility		$15.32	$17.89	$27.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $15.00 / $17.05	Professional		$6.20	$15.00	$17.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.96 / $4.96 / $6.68	Facility		$4.96	$4.96	$6.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $5.01 / $100.00	Facility		$4.57	$5.01	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $5.00 / $13.38	Professional		$3.23	$5.00	$13.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $8.94 / $85.00	Professional		$2.79	$8.94	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.96 / $4.96 / $6.68	Facility		$4.96	$4.96	$6.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $13.46 / $87.89	Professional		$6.81	$13.46	$87.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.14 / $11.14 / $100.00	Facility		$11.14	$11.14	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.76 / $5.49	Professional		$2.95	$3.76	$5.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $11.86 / $19.67	Professional		$11.86	$11.86	$19.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $19.67 / $30.41	Professional		$18.16	$19.67	$30.41
United Facility/Professional Facility Modifier Low / Median / High Price $5.57 / $5.57 / $5.57	Facility		$5.57	$5.57	$5.57
United Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $4.46 / $18.25	Professional		$3.23	$4.46	$18.25