Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $17.93 / $17.93	Facility		$17.93	$17.93	$17.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $17.30 / $21.15	Professional		$8.13	$17.30	$21.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $19.89 / $24.39	Professional		$19.89	$19.89	$24.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.80 / $45.80 / $45.80	Facility		$45.80	$45.80	$45.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $67.39 / $76.58	Facility		$57.67	$67.39	$76.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $30.94 / $40.50	Professional		$9.44	$30.94	$40.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.72 / $17.93 / $21.40	Facility		$15.72	$17.93	$21.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.62 / $18.73 / $26.16	Facility		$15.62	$18.73	$26.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $10.67 / $19.94	Professional		$8.19	$10.67	$19.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $15.62 / $17.93 / $21.40	Facility		$15.62	$17.93	$21.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $32.10 / $57.45	Professional		$21.40	$32.10	$57.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43.44 / $99.59 / $100.00	Facility		$43.44	$99.59	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $94.05 / $124.05	Professional		$9.44	$94.05	$124.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $21.40 / $21.40	Professional		$21.40	$21.40	$21.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $21.40 / $21.40	Professional		$21.40	$21.40	$21.40
United Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $10.22 / $16.98	Professional		$7.69	$10.22	$16.98