Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.37 / $7.88 / $22.53	Facility		$7.37	$7.88	$22.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $7.88 / $11.62	Professional		$5.92	$7.88	$11.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.57 / $13.57 / $22.39	Facility		$13.57	$13.57	$22.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $13.57 / $15.46	Professional		$12.62	$13.57	$15.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.57 / $20.36 / $29.04	Facility		$13.57	$20.36	$29.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $16.28 / $31.46	Professional		$14.22	$16.28	$31.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.04 / $42.12 / $55.98	Facility		$36.04	$42.12	$55.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $19.69 / $25.68	Professional		$6.93	$19.69	$25.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.62 / $11.03 / $13.57	Facility		$7.62	$11.03	$13.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $13.57	Professional		$7.76	$7.76	$13.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.62 / $11.18 / $14.25	Facility		$7.62	$11.18	$14.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $7.67 / $17.19	Professional		$6.30	$7.67	$17.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $65.00 / $85.00	Professional		$6.68	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.62 / $11.18 / $13.57	Facility		$7.62	$11.18	$13.57
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $13.57	Professional		$7.76	$7.76	$13.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $20.36 / $34.00	Professional		$13.57	$20.36	$34.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $27.55 / $80.00	Facility		$26.50	$27.55	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $59.63 / $67.58	Professional		$6.93	$59.63	$67.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $13.57 / $13.57	Professional		$13.57	$13.57	$13.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $13.57 / $13.57	Professional		$13.57	$13.57	$13.57
United Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $6.77 / $12.64	Professional		$5.70	$6.77	$12.64