Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.30 / $171.84 / $388.22	Facility		$50.30	$171.84	$388.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $6.79 / $18.87	Professional		$6.30	$6.79	$18.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.19 / $22.00 / $23.27	Facility		$18.19	$22.00	$23.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $6.26 / $36.22	Professional		$6.26	$6.26	$36.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.31 / $22.97 / $23.88	Facility		$5.31	$22.97	$23.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $8.46 / $8.46	Professional		$8.46	$8.46	$8.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.43 / $27.38 / $42.00	Facility		$23.43	$27.38	$42.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $22.78 / $25.89	Professional		$9.50	$22.78	$25.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $6.77 / $10.15	Facility		$6.73	$6.77	$10.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.15 / $120.32 / $189.06	Facility		$10.15	$120.32	$189.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $8.46 / $95.77	Professional		$5.08	$8.46	$95.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.19 / $17.44 / $85.00	Professional		$4.19	$17.44	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.73 / $6.77 / $10.15	Facility		$6.73	$6.77	$10.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $20.59 / $32.65	Professional		$10.34	$20.59	$32.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.92 / $16.92 / $80.30	Facility		$16.92	$16.92	$80.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $5.55 / $8.36	Professional		$4.48	$5.55	$8.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $12.31 / $18.02	Professional		$12.31	$12.31	$18.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $42.65 / $46.19	Professional		$12.31	$42.65	$46.19
United Facility/Professional Facility Modifier Low / Median / High Price $8.46 / $8.46 / $8.46	Facility		$8.46	$8.46	$8.46
United Facility/Professional Professional Modifier Low / Median / High Price $4.91 / $6.96 / $23.18	Professional		$4.91	$6.96	$23.18