Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.69 / $45.65 / $110.40	Facility		$11.69	$45.65	$110.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $9.25 / $32.92	Professional		$7.99	$9.25	$32.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.94 / $25.32 / $26.79	Facility		$20.94	$25.32	$26.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $5.94 / $39.72	Professional		$3.90	$5.94	$39.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.96 / $23.80 / $24.74	Facility		$6.96	$23.80	$24.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $31.59 / $48.46	Facility		$27.03	$31.59	$48.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $12.66 / $29.80	Professional		$5.12	$12.66	$29.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.22 / $8.77 / $12.47	Facility		$7.22	$8.77	$12.47
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $7.99 / $7.99	Professional		$7.99	$7.99	$7.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.22 / $9.74 / $85.00	Facility		$7.22	$9.74	$85.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.84 / $9.75 / $20.98	Professional		$5.84	$9.75	$20.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $14.61 / $85.00	Professional		$4.87	$14.61	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $7.22 / $8.77 / $12.47	Facility		$7.22	$8.77	$12.47
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $7.99 / $7.99	Professional		$7.99	$7.99	$7.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $23.66 / $33.00	Professional		$10.79	$23.66	$33.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $85.00	Facility		$19.48	$19.48	$85.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $5.12 / $5.12	Professional		$4.84	$5.12	$5.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $7.36 / $20.74	Professional		$7.36	$7.36	$20.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $53.18 / $53.18	Professional		$20.70	$53.18	$53.18
United Facility/Professional Professional Modifier Low / Median / High Price $5.84 / $9.74 / $19.95	Professional		$5.84	$9.74	$19.95