Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $90.35 / $228.25	Facility		$16.25	$90.35	$228.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.10 / $15.82 / $84.90	Professional		$11.10	$15.82	$84.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.11 / $35.20 / $37.24	Facility		$29.11	$35.20	$37.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $6.69 / $56.02	Professional		$6.69	$6.69	$56.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.44 / $36.78 / $38.22	Facility		$7.44	$36.78	$38.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $13.54 / $13.54	Professional		$13.54	$13.54	$13.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.95 / $43.17 / $66.23	Facility		$36.95	$43.17	$66.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $36.47 / $41.44	Professional		$15.69	$36.47	$41.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $12.06 / $16.25	Facility		$12.06	$12.06	$16.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.10 / $12.73 / $108.80	Facility		$11.10	$12.73	$108.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $13.54 / $37.51	Professional		$7.95	$13.54	$37.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $26.56 / $85.00	Professional		$6.77	$26.56	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $12.06 / $16.25	Facility		$12.06	$12.06	$16.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $33.26 / $134.62	Professional		$16.55	$33.26	$134.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.08 / $27.08 / $108.80	Facility		$27.08	$27.08	$108.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $8.98 / $13.33	Professional		$7.18	$8.98	$13.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $28.83 / $29.25	Professional		$28.83	$28.83	$29.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $39.35 / $73.93	Professional		$29.25	$39.35	$73.93
United Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $11.44 / $39.75	Professional		$7.84	$11.44	$39.75