Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.36 / $54.33 / $63.98	Facility		$26.36	$54.33	$63.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $26.36 / $63.80	Professional		$25.59	$26.36	$63.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.99 / $31.99 / $31.99	Facility		$31.99	$31.99	$31.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $32.49	Professional		$25.59	$25.59	$32.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.03 / $35.03 / $40.94	Facility		$35.03	$35.03	$40.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $58.35 / $83.40	Facility		$25.59	$58.35	$83.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.80 / $37.11 / $42.18	Professional		$24.80	$37.11	$42.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $27.86 / $54.63	Facility		$25.59	$27.86	$54.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $51.18 / $51.18	Professional		$19.23	$51.18	$51.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.16 / $27.86 / $54.63	Facility		$26.16	$27.86	$54.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $51.18	Professional		$27.86	$27.86	$51.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $65.00 / $85.00	Professional		$23.62	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $27.86 / $54.63	Facility		$25.59	$27.86	$54.63
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $51.18 / $51.18	Professional		$19.23	$51.18	$51.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $36.61 / $76.00	Professional		$25.59	$36.61	$76.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.59 / $25.59 / $108.44	Facility		$25.59	$25.59	$108.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $25.59	Professional		$25.59	$25.59	$25.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.78 / $35.93 / $45.27	Professional		$35.78	$35.93	$45.27
United Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $25.59 / $35.81	Professional		$25.59	$25.59	$35.81