Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.42 / $6.42 / $18.34	Facility		$6.42	$6.42	$18.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $6.42 / $9.47	Professional		$4.83	$6.42	$9.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.05 / $11.05 / $18.23	Facility		$11.05	$11.05	$18.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $11.05 / $12.59	Professional		$10.28	$11.05	$12.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.05 / $23.65 / $23.65	Facility		$11.05	$23.65	$23.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $34.75 / $46.19	Facility		$29.74	$34.75	$46.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $15.94 / $20.91	Professional		$5.64	$15.94	$20.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.21 / $8.99 / $11.05	Facility		$6.21	$8.99	$11.05
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $6.33 / $11.05	Professional		$6.33	$6.33	$11.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.26 / $9.11 / $11.56	Facility		$6.26	$9.11	$11.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $6.25 / $14.00	Professional		$5.14	$6.25	$14.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $65.00 / $85.00	Professional		$4.51	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.21 / $9.11 / $11.05	Facility		$6.21	$9.11	$11.05
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $6.33 / $11.05	Professional		$6.33	$6.33	$11.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $16.57 / $28.00	Professional		$11.05	$16.57	$28.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.58 / $22.43 / $80.00	Facility		$21.58	$22.43	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $48.56 / $55.03	Professional		$5.64	$48.56	$55.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $11.05 / $11.05	Professional		$11.05	$11.05	$11.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $11.05 / $11.05	Professional		$11.05	$11.05	$11.05
United Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $5.51 / $9.19	Professional		$4.63	$5.51	$9.19