Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.19 / $9.19 / $9.19	Facility		$9.19	$9.19	$9.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $10.03 / $12.77	Professional		$8.90	$10.03	$12.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $17.44 / $28.85	Facility		$15.85	$17.44	$28.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $14.74 / $19.48	Professional		$14.50	$14.74	$19.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.40 / $33.92 / $33.92	Facility		$11.40	$33.92	$33.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.23 / $42.35 / $65.78	Facility		$9.23	$42.35	$65.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $22.97 / $30.00	Professional		$6.47	$22.97	$30.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.33 / $13.28 / $18.23	Facility		$4.33	$13.28	$18.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $15.85 / $19.02	Professional		$9.06	$15.85	$19.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.70 / $16.55 / $80.00	Facility		$7.70	$16.55	$80.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $8.00 / $18.35	Professional		$6.72	$8.00	$18.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $55.00 / $85.00	Professional		$10.32	$55.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4.33 / $13.80 / $18.23	Facility		$4.33	$13.80	$18.23
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $15.85 / $19.02	Professional		$9.06	$15.85	$19.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $24.39 / $40.15	Professional		$15.85	$24.39	$40.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.23 / $30.96 / $80.00	Facility		$9.23	$30.96	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $9.23 / $69.66	Professional		$6.47	$9.23	$69.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $7.91 / $15.16	Professional		$5.27	$7.91	$15.16