Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $21.69 / $33.20	Facility		$14.89	$21.69	$33.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.70 / $33.76	Professional		$16.22	$16.70	$33.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.28 / $20.28 / $20.28	Facility		$20.28	$20.28	$20.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $24.33	Professional		$16.22	$16.22	$24.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $24.01 / $25.95	Facility		$22.21	$24.01	$25.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $38.69 / $55.30	Facility		$16.22	$38.69	$55.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $33.97 / $38.61	Professional		$15.08	$33.97	$38.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $16.22 / $36.43	Facility		$14.46	$16.22	$36.43
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $32.44 / $42.75	Professional		$21.69	$32.44	$42.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $22.34 / $141.51	Facility		$14.46	$22.34	$141.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $14.46 / $32.44	Professional		$12.29	$14.46	$32.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $58.40 / $85.00	Professional		$14.80	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $14.46 / $16.22 / $36.43	Facility		$14.46	$16.22	$36.43
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $32.44 / $42.75	Professional		$21.69	$32.44	$42.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.22 / $55.64	Professional		$16.22	$19.22	$55.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $85.00 / $141.51	Facility		$74.73	$85.00	$141.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $54.65	Professional		$16.22	$16.22	$54.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $14.80 / $14.80	Professional		$14.80	$14.80	$14.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.77 / $22.77 / $49.59	Professional		$22.77	$22.77	$49.59
United Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $16.22 / $24.33	Professional		$13.02	$16.22	$24.33