Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.77 / $40.56 / $47.47	Facility		$20.77	$40.56	$47.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $19.04 / $24.98	Professional		$4.99	$19.04	$24.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.11 / $47.29 / $50.02	Facility		$39.11	$47.29	$50.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $5.86 / $64.94	Professional		$5.86	$5.86	$64.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.77 / $36.63 / $38.07	Facility		$10.77	$36.63	$38.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.66 / $56.86 / $87.23	Facility		$48.66	$56.86	$87.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $23.44 / $54.35	Professional		$7.97	$23.44	$54.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $14.99 / $23.28	Facility		$9.00	$14.99	$23.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $4.76	Professional		$4.76	$4.76	$4.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $15.58 / $85.13	Facility		$9.00	$15.58	$85.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $15.12 / $26.37	Professional		$5.81	$15.12	$26.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $27.29 / $85.00	Professional		$7.50	$27.29	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $14.99 / $23.28	Facility		$9.00	$14.99	$23.28
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $4.76	Professional		$4.76	$4.76	$4.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $44.17 / $61.60	Professional		$20.14	$44.17	$61.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.52 / $35.52 / $85.13	Facility		$35.52	$35.52	$85.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $7.97 / $7.97	Professional		$2.89	$7.97	$7.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $4.40 / $33.90	Professional		$4.40	$4.40	$33.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $96.97 / $96.97	Professional		$17.03	$96.97	$96.97
United Facility/Professional Professional Modifier Low / Median / High Price $5.86 / $15.12 / $38.77	Professional		$5.86	$15.12	$38.77