Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.22 / $44.42 / $51.00	Facility		$23.22	$44.42	$51.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $23.22 / $28.18	Professional		$22.54	$23.22	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $41.70 / $50.26	Facility		$28.18	$41.70	$50.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $22.54 / $30.42	Professional		$22.54	$22.54	$30.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.06 / $40.57 / $41.32	Facility		$36.06	$40.57	$41.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.54 / $31.46 / $71.78	Facility		$22.54	$31.46	$71.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $25.81 / $35.40	Professional		$22.54	$25.81	$35.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $22.54 / $24.93	Facility		$22.21	$22.54	$24.93
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $45.08 / $45.08	Professional		$33.32	$45.08	$45.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $22.21 / $24.55	Facility		$22.21	$22.21	$24.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $24.72 / $95.19	Professional		$22.21	$24.72	$95.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.21 / $22.54 / $25.09	Facility		$22.21	$22.54	$25.09
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $33.32 / $45.08 / $45.08	Professional		$33.32	$45.08	$45.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $33.34 / $72.40	Professional		$22.54	$33.34	$72.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22.19 / $22.54 / $107.55	Facility		$22.19	$22.54	$107.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $39.65 / $95.19	Professional		$22.54	$39.65	$95.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $31.65 / $31.65	Professional		$26.62	$31.65	$31.65
United Facility/Professional Professional Modifier Low / Median / High Price $22.54 / $23.22 / $26.82	Professional		$22.54	$23.22	$26.82