Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.93 / $10.93 / $24.37	Facility		$10.93	$10.93	$24.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.93 / $36.40	Professional		$10.62	$10.93	$36.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $22.81 / $23.66	Facility		$19.63	$22.81	$23.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $14.33	Professional		$10.62	$10.62	$14.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.54 / $14.54 / $16.98	Facility		$14.54	$14.54	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $25.95 / $36.78	Facility		$14.19	$25.95	$36.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $18.12 / $32.40	Professional		$11.12	$18.12	$32.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $10.62 / $28.15	Facility		$9.60	$10.62	$28.15
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $9.89 / $9.89	Professional		$9.89	$9.89	$9.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $13.59 / $28.15	Facility		$9.60	$13.59	$28.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $15.93	Professional		$10.62	$10.62	$15.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $10.62 / $65.00	Professional		$9.55	$10.62	$65.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $10.62 / $28.15	Facility		$9.60	$10.62	$28.15
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $9.89 / $9.89	Professional		$9.89	$9.89	$9.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $25.17 / $36.29	Professional		$10.62	$25.17	$36.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,516.24 / $1,516.24 / $1,516.24	Facility		$1,516.24	$1,516.24	$1,516.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $33.45 / $33.45	Professional		$33.45	$33.45	$33.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $14.91 / $20.98	Professional		$13.11	$14.91	$20.98
United Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $10.62 / $15.93	Professional		$10.62	$10.62	$15.93