Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $26.96 / $583.95	Facility		$14.51	$26.96	$583.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.31 / $14.51 / $27.46	Professional		$9.31	$14.51	$27.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.99 / $31.43 / $33.25	Facility		$25.99	$31.43	$33.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $9.93 / $51.78	Professional		$5.72	$9.93	$51.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.01 / $32.01 / $33.72	Facility		$32.01	$32.01	$33.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $38.96 / $59.77	Facility		$33.34	$38.96	$59.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $35.36 / $40.24	Professional		$13.63	$35.36	$40.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $14.51 / $42.32	Facility		$10.88	$14.51	$42.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $14.51 / $42.79	Facility		$10.88	$14.51	$42.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $14.22 / $424.00	Professional		$9.51	$14.22	$424.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $55.00 / $85.00	Professional		$9.51	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.88 / $14.51 / $42.32	Facility		$10.88	$14.51	$42.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $31.23 / $42.66	Professional		$24.05	$31.23	$42.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.18 / $246.00 / $246.00	Facility		$24.18	$246.00	$246.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $60.45 / $424.00	Professional		$12.95	$60.45	$424.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $7.19 / $25.75	Professional		$7.19	$7.19	$25.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $23.69 / $66.01	Professional		$7.19	$23.69	$66.01
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $12.09 / $34.82	Professional		$7.25	$12.09	$34.82