Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.03 / $52.79 / $62.17	Facility		$26.03	$52.79	$62.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $26.03 / $90.70	Professional		$25.27	$26.03	$90.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.59 / $31.59 / $31.59	Facility		$31.59	$31.59	$31.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $32.09	Professional		$25.27	$25.27	$32.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.59 / $34.59 / $40.43	Facility		$34.59	$34.59	$40.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $67.28 / $96.17	Facility		$25.27	$67.28	$96.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $46.46 / $52.80	Professional		$25.27	$46.46	$52.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $27.07 / $55.60	Facility		$25.27	$27.07	$55.60
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $50.54 / $50.54	Professional		$2.41	$50.54	$50.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.07 / $27.07 / $59.88	Facility		$27.07	$27.07	$59.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $27.07 / $50.54	Professional		$27.07	$27.07	$50.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $65.00 / $85.00	Professional		$29.04	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $27.07 / $55.60	Facility		$25.27	$27.07	$55.60
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $2.41 / $50.54 / $50.54	Professional		$2.41	$50.54	$50.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $39.34 / $94.00	Professional		$25.27	$39.34	$94.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $134.55 / $134.55 / $134.55	Facility		$134.55	$134.55	$134.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $25.27	Professional		$25.27	$25.27	$25.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $35.47 / $53.38	Professional		$35.47	$35.47	$53.38
United Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $25.27 / $37.90	Professional		$25.27	$25.27	$37.90