Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.74 / $28.16 / $32.34	Facility		$14.74	$28.16	$32.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.45 / $16.60	Professional		$14.31	$14.45	$16.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $26.47 / $31.91	Facility		$17.89	$26.47	$31.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $14.31 / $19.30	Professional		$14.31	$14.31	$19.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.90 / $25.76 / $26.23	Facility		$22.90	$25.76	$26.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.31 / $27.39 / $47.51	Facility		$14.31	$27.39	$47.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $16.71 / $24.10	Professional		$14.31	$16.71	$24.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.08 / $14.45 / $15.82	Facility		$14.08	$14.45	$15.82
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $21.12 / $28.62 / $28.62	Professional		$21.12	$28.62	$28.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.08 / $14.08 / $15.57	Facility		$14.08	$14.08	$15.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $15.67 / $61.68	Professional		$14.08	$15.67	$61.68
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 $14.08 / $14.31 / $15.93	Facility		$14.08	$14.31	$15.93
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $21.12 / $28.62 / $28.62	Professional		$21.12	$28.62	$28.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $21.58 / $46.47	Professional		$14.31	$21.58	$46.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.96 / $14.31 / $85.00	Facility		$13.96	$14.31	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $25.70 / $61.68	Professional		$14.31	$25.70	$61.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $20.09 / $20.09	Professional		$20.09	$20.09	$20.09
United Facility/Professional Professional Modifier Low / Median / High Price $14.31 / $15.17 / $17.03	Professional		$14.31	$15.17	$17.03