Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.12 / $58.66 / $130.22	Facility		$15.12	$58.66	$130.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $13.86 / $26.40	Professional		$10.35	$13.86	$26.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $32.76 / $34.65	Facility		$27.09	$32.76	$34.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $8.08 / $51.40	Professional		$8.08	$8.08	$51.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.02 / $30.79 / $32.00	Facility		$7.02	$30.79	$32.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $12.60 / $12.60	Professional		$12.60	$12.60	$12.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $40.02 / $61.38	Facility		$34.24	$40.02	$61.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $33.92 / $38.54	Professional		$14.46	$33.92	$38.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.85 / $9.85 / $15.12	Facility		$9.85	$9.85	$15.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.85 / $10.33 / $60.00	Facility		$9.85	$10.33	$60.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $12.60 / $31.42	Professional		$7.31	$12.60	$31.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $18.89 / $85.00	Professional		$6.24	$18.89	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.85 / $9.85 / $15.12	Facility		$9.85	$9.85	$15.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $30.76 / $42.90	Professional		$14.82	$30.76	$42.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.20 / $25.20 / $60.00	Facility		$25.20	$25.20	$60.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.68 / $6.68 / $30.87	Professional		$6.68	$6.68	$30.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $26.83	Professional		$11.22	$11.22	$26.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $36.61 / $68.80	Professional		$11.22	$36.61	$68.80
United Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $8.98 / $31.42	Professional		$6.30	$8.98	$31.42