Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $149.66 / $280.50	Facility		$19.95	$149.66	$280.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.42 / $13.08 / $19.85	Professional		$12.42	$13.08	$19.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $37.60 / $39.77	Facility		$31.09	$37.60	$39.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $7.14 / $59.82	Professional		$7.14	$7.14	$59.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $39.28 / $40.82	Facility		$9.86	$39.28	$40.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $14.46 / $14.46	Professional		$14.46	$14.46	$14.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $46.33 / $71.08	Facility		$39.65	$46.33	$71.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $38.94 / $44.25	Professional		$16.93	$38.94	$44.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $17.35	Facility		$12.88	$12.88	$17.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.57 / $13.59 / $97.00	Facility		$11.57	$13.59	$97.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $14.46 / $40.04	Professional		$8.68	$14.46	$40.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $29.82 / $85.00	Professional		$7.16	$29.82	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $17.35	Facility		$12.88	$12.88	$17.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $35.64 / $69.23	Professional		$17.68	$35.64	$69.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.92 / $28.92 / $97.00	Facility		$28.92	$28.92	$97.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $9.47 / $14.11	Professional		$7.66	$9.47	$14.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $30.79 / $39.26	Professional		$30.79	$30.79	$39.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $50.82 / $78.95	Professional		$39.26	$50.82	$78.95
United Facility/Professional Professional Modifier Low / Median / High Price $8.39 / $11.90 / $39.63	Professional		$8.39	$11.90	$39.63