Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.36 / $23.40 / $27.56	Facility		$12.36	$23.40	$27.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.43 / $2,774.84	Professional		$12.07	$12.43	$2,774.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.09 / $22.33 / $26.92	Facility		$15.09	$22.33	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $15.32	Professional		$12.07	$12.07	$15.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.52 / $16.52 / $19.30	Facility		$16.52	$16.52	$19.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $14.93 / $31.03	Facility		$12.07	$14.93	$31.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.70 / $16.73 / $19.01	Professional		$11.70	$16.73	$19.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $12.00 / $26.38	Facility		$12.00	$12.00	$26.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $24.14 / $24.14	Professional		$18.00	$24.14	$24.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $12.00 / $29.39	Facility		$12.00	$12.00	$29.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $24.14	Professional		$12.00	$12.00	$24.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.49 / $65.00 / $85.00	Professional		$11.49	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $12.00 / $26.38	Facility		$12.00	$12.00	$26.38
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $24.14 / $24.14	Professional		$18.00	$24.14	$24.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.79 / $39.60	Professional		$12.07	$12.79	$39.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $12.07	Professional		$12.07	$12.07	$12.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.31 / $16.95 / $16.95	Professional		$13.31	$16.95	$16.95
United Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $15.69	Professional		$12.07	$12.07	$15.69