Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.80 / $21.80 / $21.80	Facility		$21.80	$21.80	$21.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $19.62 / $25.71	Professional		$13.70	$19.62	$25.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.50 / $59.15 / $59.15	Facility		$32.50	$59.15	$59.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.23 / $43.83	Professional		$30.20	$30.23	$43.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.46 / $18.55 / $69.48	Facility		$2.46	$18.55	$69.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $21.27 / $86.51	Facility		$21.27	$21.27	$86.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $37.50 / $46.88	Professional		$21.27	$37.50	$46.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $27.50 / $39.54	Facility		$10.92	$27.50	$39.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $22.83 / $22.83 / $41.26	Professional		$22.83	$22.83	$41.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $41.26 / $152.57	Facility		$10.92	$41.26	$152.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $19.50 / $41.26	Professional		$14.34	$19.50	$41.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $50.00 / $65.00	Professional		$11.39	$50.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.92 / $27.50 / $39.54	Facility		$10.92	$27.50	$39.54
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $22.83 / $22.83 / $41.26	Professional		$22.83	$22.83	$41.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $7.89 / $10.24	Professional		$4.29	$7.89	$10.24
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.27 / $63.06 / $152.57	Facility		$21.27	$63.06	$152.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.27 / $21.27 / $25.52	Professional		$21.27	$21.27	$25.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.43 / $33.43 / $33.43	Professional		$33.43	$33.43	$33.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.43 / $33.43 / $33.43	Professional		$33.43	$33.43	$33.43
United Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $20.05 / $33.43	Professional		$13.70	$20.05	$33.43