Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.94 / $11.94 / $11.94	Facility		$11.94	$11.94	$11.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $11.94 / $15.51	Professional		$11.32	$11.94	$15.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $26.88	Facility		$16.29	$16.29	$26.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $15.15 / $18.57	Professional		$15.15	$15.15	$18.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.86 / $34.86 / $34.86	Facility		$34.86	$34.86	$34.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.15 / $51.60 / $79.15	Facility		$44.15	$51.60	$79.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $27.14 / $30.84	Professional		$18.75	$27.14	$30.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.32 / $16.29 / $17.10	Facility		$11.32	$16.29	$17.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.32 / $16.29 / $17.10	Facility		$11.32	$16.29	$17.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $18.43 / $46.75	Professional		$8.13	$18.43	$46.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Professional		$65.00	$65.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.32 / $16.29 / $17.10	Facility		$11.32	$16.29	$17.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $24.44 / $49.00	Professional		$16.29	$24.44	$49.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $150.34 / $150.34 / $150.34	Facility		$150.34	$150.34	$150.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $13.47 / $13.47	Professional		$13.47	$13.47	$13.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $16.29 / $16.29	Professional		$16.29	$16.29	$16.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $16.29 / $16.29	Professional		$16.29	$16.29	$16.29
United Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $16.26 / $44.04	Professional		$5.42	$16.26	$44.04