Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.28 / $11.61 / $17.26	Facility		$9.28	$11.61	$17.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.19 / $7.35 / $20.56	Professional		$6.19	$7.35	$20.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.64 / $20.12 / $21.29	Facility		$16.64	$20.12	$21.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.10 / $5.34 / $33.14	Professional		$3.10	$5.34	$33.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.65 / $18.91 / $19.66	Facility		$5.65	$18.91	$19.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.63 / $25.27 / $38.77	Facility		$21.63	$25.27	$38.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $13.59 / $23.69	Professional		$6.64	$13.59	$23.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.87 / $6.97 / $16.50	Facility		$3.87	$6.97	$16.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.87 / $7.74 / $70.00	Facility		$3.87	$7.74	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $6.19 / $23.87	Professional		$4.01	$6.19	$23.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $55.00 / $85.00	Professional		$3.87	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3.87 / $6.97 / $16.50	Facility		$3.87	$6.97	$16.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $18.93 / $25.96	Professional		$12.96	$18.93	$25.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $50.00 / $70.00	Facility		$15.48	$50.00	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $38.70 / $39.45	Professional		$3.82	$38.70	$39.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $16.48 / $108.15	Professional		$16.48	$16.48	$108.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $108.15 / $108.15	Professional		$20.87	$108.15	$108.15
United Facility/Professional Professional Modifier Low / Median / High Price $3.87 / $4.96 / $15.35	Professional		$3.87	$4.96	$15.35