Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $11.72 / $17.57	Professional		$7.00	$11.72	$17.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $22.90 / $62.75	Professional		$5.86	$22.90	$62.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $38.79 / $40.86	Facility		$38.79	$38.79	$40.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.39 / $53.85 / $76.43	Facility		$47.39	$53.85	$76.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $21.24 / $48.75	Professional		$7.64	$21.24	$48.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $17.57 / $51.28	Facility		$11.28	$17.57	$51.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $19.78 / $51.28	Facility		$11.28	$19.78	$51.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $14.65 / $100.00	Professional		$7.61	$14.65	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.33 / $58.40 / $85.00	Professional		$7.33	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $17.57 / $51.28	Facility		$11.28	$17.57	$51.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $35.50 / $51.10	Professional		$27.00	$35.50	$51.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.30 / $29.30 / $100.00	Facility		$29.30	$29.30	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $73.25 / $100.00	Professional		$8.13	$73.25	$100.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $24.31 / $31.20	Professional		$24.31	$24.31	$31.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $29.38 / $79.98	Professional		$24.31	$29.38	$79.98
United Facility/Professional Professional Modifier Low / Median / High Price $7.61 / $14.65 / $41.38	Professional		$7.61	$14.65	$41.38