Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $19.07 / $19.07	Facility		$19.07	$19.07	$19.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $17.17 / $22.50	Professional		$11.99	$17.17	$22.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $52.23 / $52.23	Facility		$28.70	$52.23	$52.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $26.70 / $38.74	Professional		$26.69	$26.70	$38.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $15.76 / $61.44	Facility		$2.10	$15.76	$61.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $18.77 / $76.59	Facility		$18.77	$18.77	$76.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $33.38 / $41.72	Professional		$18.77	$33.38	$41.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $23.39 / $34.34	Facility		$9.27	$23.39	$34.34
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $19.41 / $35.09	Professional		$19.41	$19.41	$35.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $35.09 / $134.69	Facility		$9.27	$35.09	$134.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $16.86 / $35.28	Professional		$12.18	$16.86	$35.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $50.00 / $65.00	Professional		$9.67	$50.00	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $23.39 / $34.34	Facility		$9.27	$23.39	$34.34
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $19.41 / $19.41 / $35.09	Professional		$19.41	$19.41	$35.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $7.10 / $9.22	Professional		$3.79	$7.10	$9.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $55.76 / $134.69	Facility		$20.14	$55.76	$134.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $18.77 / $24.64	Professional		$18.77	$18.77	$24.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $28.97 / $28.97	Professional		$28.97	$28.97	$28.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $28.97 / $28.97	Professional		$28.97	$28.97	$28.97
United Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $16.61 / $34.22	Professional		$11.65	$16.61	$34.22