Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $69.18 / $93.33	Facility		$12.88	$69.18	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $56.23	Professional		$6.03	$7.94	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $22.91 / $23.44	Facility		$18.62	$22.91	$23.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $34.67	Professional		$4.27	$4.27	$34.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Facility		$6.03	$6.03	$6.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $27.54 / $43.65	Facility		$23.44	$27.54	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $29.51	Professional		$10.00	$12.30	$29.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $18.62 / $69.18	Facility		$7.59	$18.62	$69.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $8.32 / $87.10	Facility		$6.92	$8.32	$87.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $10.00 / $19.05	Professional		$5.13	$10.00	$19.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $30.20 / $64.57	Professional		$4.27	$30.20	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $21.88 / $43.65	Professional		$11.22	$21.88	$43.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $100.00	Facility		$18.62	$18.62	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.75 / $8.32	Professional		$4.57	$5.75	$8.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $38.90	Professional		$11.75	$11.75	$38.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $38.90 / $60.26	Professional		$12.59	$38.90	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $7.59 / $10.23	Facility		$6.46	$7.59	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $8.71 / $21.88	Professional		$5.13	$8.71	$21.88