Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.04 / $35.18 / $41.43	Facility		$17.04	$35.18	$41.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $17.04 / $30.99	Professional		$16.54	$17.04	$30.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.68 / $20.68 / $20.68	Facility		$20.68	$20.68	$20.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $21.00	Professional		$16.54	$16.54	$21.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $22.64 / $26.46	Facility		$22.64	$22.64	$26.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $41.73 / $59.65	Facility		$16.54	$41.73	$59.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $27.14 / $30.84	Professional		$16.54	$27.14	$30.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.92 / $16.54 / $18.04	Facility		$12.92	$16.54	$18.04
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $33.08 / $33.08	Professional		$7.75	$33.08	$33.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.92 / $18.04 / $18.04	Facility		$12.92	$18.04	$18.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $18.04 / $33.08	Professional		$18.04	$18.04	$33.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $65.00 / $85.00	Professional		$16.04	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.92 / $16.54 / $18.04	Facility		$12.92	$16.54	$18.04
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $33.08 / $33.08	Professional		$7.75	$33.08	$33.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $21.87 / $43.00	Professional		$16.54	$21.87	$43.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $16.54 / $100.00	Facility		$16.54	$16.54	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $16.54	Professional		$16.54	$16.54	$16.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $23.22 / $23.22	Professional		$14.82	$23.22	$23.22
United Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $26.46	Professional		$16.54	$16.54	$26.46