Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $8.06 / $23.04	Facility		$8.06	$8.06	$23.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $8.06 / $11.89	Professional		$6.06	$8.06	$11.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.88 / $13.88 / $22.90	Facility		$13.88	$13.88	$22.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $13.88 / $15.82	Professional		$12.91	$13.88	$15.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.88 / $29.70 / $29.70	Facility		$13.88	$29.70	$29.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $43.17 / $57.38	Facility		$36.95	$43.17	$57.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $20.16 / $26.26	Professional		$7.09	$20.16	$26.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.79 / $11.28 / $13.88	Facility		$7.79	$11.28	$13.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $13.88	Professional		$7.94	$7.94	$13.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $11.44 / $14.51	Facility		$7.86	$11.44	$14.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $7.85 / $17.59	Professional		$6.45	$7.85	$17.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $65.00 / $85.00	Professional		$9.55	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.79 / $11.44 / $13.88	Facility		$7.79	$11.44	$13.88
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $13.88	Professional		$7.94	$7.94	$13.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $20.82 / $35.00	Professional		$13.88	$20.82	$35.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $28.18 / $80.00	Facility		$27.10	$28.18	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $60.98 / $69.12	Professional		$7.09	$60.98	$69.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $13.88 / $13.88	Professional		$13.88	$13.88	$13.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $13.88 / $13.88	Professional		$13.88	$13.88	$13.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $6.92 / $11.54	Professional		$5.83	$6.92	$11.54