Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.39 / $21.65 / $189.87	Facility		$13.39	$21.65	$189.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $8.44 / $9.71	Professional		$8.24	$8.44	$9.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $25.25 / $26.70	Facility		$20.88	$25.25	$26.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $4.80 / $40.18	Professional		$4.80	$4.80	$40.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.62 / $26.37 / $27.41	Facility		$6.62	$26.37	$27.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $9.71 / $9.71	Professional		$9.71	$9.71	$9.71
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 $11.15 / $26.15 / $29.71	Professional		$11.15	$26.15	$29.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $8.64 / $11.65	Facility		$8.64	$8.64	$11.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.96 / $9.13 / $100.00	Facility		$7.96	$9.13	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $9.71 / $26.90	Professional		$5.83	$9.71	$26.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $26.80 / $85.00	Professional		$4.86	$26.80	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $8.64 / $11.65	Facility		$8.64	$8.64	$11.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $23.76 / $71.81	Professional		$13.10	$23.76	$71.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.42 / $19.42 / $100.00	Facility		$19.42	$19.42	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $6.37 / $9.41	Professional		$5.15	$6.37	$9.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $16.69 / $20.68	Professional		$16.69	$16.69	$20.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.69 / $16.69 / $53.02	Professional		$16.69	$16.69	$53.02
United Facility/Professional Professional Modifier Low / Median / High Price $5.63 / $8.00 / $26.61	Professional		$5.63	$8.00	$26.61