Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $22.31 / $22.31	Facility		$22.31	$22.31	$22.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $19.47 / $25.30	Professional		$13.48	$19.47	$25.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.10 / $60.24 / $60.24	Facility		$33.10	$60.24	$60.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $30.78 / $44.63	Professional		$30.75	$30.78	$44.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.33 / $23.31 / $76.40	Facility		$2.33	$23.31	$76.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $20.72 / $84.71	Facility		$20.72	$20.72	$84.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $36.75 / $45.94	Professional		$20.72	$36.75	$45.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $28.56 / $41.06	Facility		$9.77	$28.56	$41.06
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $20.44 / $42.84	Professional		$20.44	$20.44	$42.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $41.06 / $148.63	Facility		$9.77	$41.06	$148.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.86 / $17.82 / $40.11	Professional		$13.86	$17.82	$40.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $50.00 / $65.00	Professional		$10.19	$50.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $28.56 / $41.06	Facility		$9.77	$28.56	$41.06
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $20.44 / $42.84	Professional		$20.44	$20.44	$42.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $7.10 / $9.22	Professional		$4.37	$7.10	$9.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22.61 / $64.20 / $148.63	Facility		$22.61	$64.20	$148.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $27.20	Professional		$20.72	$20.72	$27.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $35.13 / $35.13	Professional		$35.13	$35.13	$35.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $35.13 / $35.13	Professional		$35.13	$35.13	$35.13
United Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $17.48 / $38.19	Professional		$12.83	$17.48	$38.19