Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.61 / $15.77 / $23.44	Facility		$12.61	$15.77	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $9.98 / $37.69	Professional		$8.61	$9.98	$37.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.60 / $27.33 / $28.90	Facility		$22.60	$27.33	$28.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $4.74 / $43.40	Professional		$4.74	$4.74	$43.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $26.06 / $27.08	Facility		$7.86	$26.06	$27.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.70 / $51.69	Facility		$28.84	$33.70	$51.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $28.30 / $32.15	Professional		$11.98	$28.30	$32.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.08 / $5.08 / $12.61	Facility		$5.08	$5.08	$12.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.08 / $8.61 / $70.00	Facility		$5.08	$8.61	$70.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $10.51 / $28.12	Professional		$6.31	$10.51	$28.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $18.79 / $85.00	Professional		$5.26	$18.79	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $5.08 / $5.08 / $12.61	Facility		$5.08	$5.08	$12.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $25.34 / $35.20	Professional		$12.16	$25.34	$35.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.02 / $21.02 / $70.00	Facility		$21.02	$21.02	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $6.37 / $9.41	Professional		$5.57	$6.37	$9.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $22.38	Professional		$9.86	$9.86	$22.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $38.25 / $57.38	Professional		$9.86	$38.25	$57.38
United Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $8.41 / $28.12	Professional		$5.76	$8.41	$28.12