Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.34 / $63.24 / $101.46	Facility		$10.34	$63.24	$101.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $16.25 / $66.81	Professional		$6.95	$16.25	$66.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.69 / $8.69 / $8.69	Facility		$8.69	$8.69	$8.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.96 / $6.96 / $8.83	Professional		$6.96	$6.96	$8.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $9.52 / $11.14	Facility		$9.52	$9.52	$11.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.96 / $17.96 / $25.67	Facility		$6.96	$17.96	$25.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.96 / $10.64 / $12.09	Professional		$6.96	$10.64	$12.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.29 / $6.89 / $15.67	Facility		$6.29	$6.89	$15.67
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $13.92 / $13.92	Professional		$4.01	$13.92	$13.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.89 / $35.15 / $58.84	Facility		$6.89	$35.15	$58.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $6.89 / $13.92	Professional		$6.89	$6.89	$13.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $65.00 / $85.00	Professional		$6.85	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.29 / $6.89 / $15.67	Facility		$6.29	$6.89	$15.67
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.01 / $13.92 / $13.92	Professional		$4.01	$13.92	$13.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.95 / $10.61 / $23.00	Professional		$6.95	$10.61	$23.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.96 / $6.96 / $6.96	Professional		$6.96	$6.96	$6.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $9.77 / $11.17	Professional		$8.61	$9.77	$11.17
United Facility/Professional Professional Modifier Low / Median / High Price $6.96 / $6.96 / $11.84	Professional		$6.96	$6.96	$11.84